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# | Location | File | Last Modified |
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1 | CPEE_v1_Build_7.zip\CPEE_v1_Build_7 | Claims Processing and Eligibility Enhancements_Build 7_stories(CPE).xlsx | Tue Apr 24 15:18:40 2018 UTC |
2 | CPEE_v1_Build_7.zip\CPEE_v1_Build_7 | Claims Processing and Eligibility Enhancements_Build 7_stories(CPE).xlsx | Tue Apr 24 16:01:21 2018 UTC |
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1 | SHEET: She et1 | |
2 | Epic,Story #,Rationa l,Descript ion, | |
3 | 1,Epic 001 ,951406,As a VE, I w ant to use the Physi cal Locati on Zip Fie ld in the Bene Calc routine fo r appropri ate benefi t calculat ion. , | |
4 | 1,CPE001-0 13,958201, As the HCR Group, I would like a report I can eith er print o r export t o Excel fr om CP&E th at display s the info rmation ba sed on the report sp ecificatio ns on dupl icate vend or records that have been inac tivated., | |
5 | 1,CPE001-0 18,951231, As an HCR PA, I want the label in the IP vendor sc reen to be changed f rom "Remit -to Inform ation" to "Billing/R emit-to In formation" ., | |
6 | 1,CPE001-0 19,951234, As an HCR PA, I want the syste m to displ ay the pro vider's bi lling addr ess (Stree t Address, City, Sta te, and Zi p Code) on the IP Ve ndor searc h result s creen in t he field t hat is lab elled "BIL LING/REMIT -TO ADDRES S", when t he billing address i s present in the Ven dor File., | |
7 | 1,CPE001-1 00,972772, As a VE, I want the system to use the PL Zip in th e Prospect ive Paymen t System ( PPS) payme nt methodo logy in al l correspo nding Type s of Cover age for th e Coordina tion of Be nefit of P rimary, Se condary an d Tertiary for CHAMP VA\SB manu al and EDI Inpatient claims., | |
8 | 1,CPE001-1 01,972773, As a VE, I want the system to use the PL Zip in th e Low Volu me Mental Health (LV MH) paymen t methodol ogy in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for CHAMPV A\SB manua l and EDI Inpatient claims., | |
9 | 1,CPE001-1 02,972774, As a VE, I want the system to use the PL Zip in th e High Vol ume Mental Health (H VMH) payme nt methodo logy claim s in all c orrespondi ng Types o f Coverage for the C oordinatio n of Benef it of Prim ary, Secon dary and T ertiary fo r CHAMPVA\ SB manual and EDI In patient., | |
10 | 1,CPE001-1 03,972775, As a VE, I want the system to use the PL Zip in th e Medicare Hospice P er Diem Ra tes paymen t methodol ogy for Ho spice Gene ral Inpati ent Care i n all corr esponding Types of C overage fo r the Coor dination o f Benefit of Primary , Secondar y and Tert iary for C HAMPVA\SB manual and EDI Inpat ient claim s., | |
11 | 1,CPE001-1 09,972781, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Facility and Profes sional Fee services in all cor responding Types of Coverage f or the Coo rdination of Benefit of Primar y, Seconda ry and Ter tiary for CHAMPVA\SB manual an d EDI Outp atient cla ims., | |
12 | 1,CPE001-1 10,972782, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Mental He alth in al l correspo nding Type s of Cover age for th e Coordina tion of Be nefit of P rimary, Se condary an d Tertiary for CHAMP VA\SB manu al and EDI Outpatien t claims., | |
13 | 1,CPE001-1 11,972783, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for ASC Profe ssional Fe e services claims in all corre sponding T ypes of Co verage for the Coord ination of Benefit o f Primary, Secondary and Terti ary for CH AMPVA\SB m anual and EDI Outpat ient., | |
14 | 1,CPE001-1 12,972784, As a VE, I want the system to use the PL Zip in th e PPS paym ent method ology for ASC Hospit al Based F acility in all corre sponding T ypes of Co verage for the Coord ination of Benefit o f Primary, Secondary and Terti ary for CH AMPVA\SB m anual and EDI Outpat ient claim s., | |
15 | 1,CPE001-1 13,972785, As a VE, I want the system to use the PL Zip in th e PPS paym ent method ology for ASC Freest anding Fac ility in a ll corresp onding Typ es of Cove rage for t he Coordin ation of B enefit of Primary, S econdary a nd Tertiar y for CHAM PVA\SB man ual and ED I Outpatie nt claims. , | |
16 | 1,CPE001-1 14,972786, As a VE, I want the system to use the PL Zip in th e CMAC Ane sthesia Ra te payment methodolo gy in all correspond ing Types of Coverag e for the Coordinati on of Bene fit of Pri mary, Seco ndary and Tertiary f or Anesthe sia for CH AMPVA\SB m anual and EDI Outpat ient claim s., | |
17 | 1,CPE001-1 15,972787, As a VE, I want the system to use the PL Zip in th e Medicare Hospice P er Diem Ra tes paymen t methodol ogy for Ho spice Rout ine Home C are in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for CHAMPV A\SB manua l and EDI Outpatient claims., | |
18 | 1,CPE001-1 16,972788, As a VE, I want the system to use the PL Zip in th e Medicare Hospice P er Diem Ra tes paymen t methodol ogy in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for Hospic e Continuo us Home Ca re for CHA MPVA\SB ma nual and E DI Outpati ent claims ., | |
19 | 1,CPE001-1 17,972789, As a VE, I want the system to use the PL Zip in th e CMAC Inj ectable Ra te payment methodolo gy for Inj ectable Dr ugs in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for CHAMPV A\SB manua l and EDI Outpatient claims., | |
20 | 1,CPE001-1 18,972790, As a VE, I want the system to use the PL Zip in th e CMAC Inj ectable Ra te payment methodolo gy for Hom e Infusion J-code wi th NDC cla ims in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for CHAMPV A\SB manua l and EDI Outpatient . , | |
21 | 1,CPE001-1 19,972791, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Multiple Surgery in all corre sponding T ypes of Co verage for the Coord ination of Benefit o f Primary, Secondary and Terti ary for CH AMPVA\SB m anual and EDI Outpat ient claim s., | |
22 | 1,CPE001-1 20,972792, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Multiple Surgery Fi ngers or T oes in all correspon ding Types of Covera ge for the Coordinat ion of Ben efit of Pr imary, Sec ondary and Tertiary for CHAMPV A\SB manua l and EDI Outpatient claims., | |
23 | 1,CPE001-1 21,972793, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Assistant -At-Surger y in all c orrespondi ng Types o f Coverage for the C oordinatio n of Benef it of Prim ary, Secon dary and T ertiary fo r CHAMPVA\ SB manual and EDI Ou tpatient c laims., | |
24 | 1,CPE001-1 22,972794, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology for Other tha n Assistan t-At-Surge ry in all correspond ing Types of Coverag e for the Coordinati on of Bene fit of Pri mary, Seco ndary and Tertiary f or CHAMPVA \SB manual and EDI O utpatient claims., | |
25 | 1,CPE001-1 23,972795, As a VE, I want the system to use the PL Zip in th e CMAC pay ment metho dology in all corres ponding Ty pes of Cov erage for the Coordi nation of Benefit of Primary, Secondary and Tertia ry for CHA MPVA\SB ED I Manual a nd EDI cla ims with a Type of S ervice of Dental., | |
26 | 1,CPE001-1 24,983056, As a VE, I want the system to use the PL Zip in th e CMAC Pay ment Metho dology for PA or NP as an Assi stant-at-S urgery in all Corres ponding Ty pes of Cov erage for the Coordi nation of Benefit of Primary, Secondary and Tertia ry for CHA MPVA\SB Ma nual and E DI Outpati ent Claims ., |
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