Payor/Carveout Quiz
What is a payor/carveout?
A specific branch of the WCI company
Different WCI companies with the same first name
Specific employer groups under the same WCI company
A specific group of Adjusters who only handle one employer
True or False: An Adjuster's name be listed under more than one careveout for the same WCI company?
True
False
True or False: Client directives for each WCI carveouts are the same, example: Sedgwick and Sedgwick/Albertsons
True
Fasle
True or False: When cloning/creating a referral you should always check the claims feed for the WCI listed.
True
False
Select all that apply: When cloning/creating a new referral if you are adding/updating an adjuster and more than 1 option is populating for the same WCI company due to a carveout, what information should you look for to make the correct selection?
Branch location
Employer
Adjusters signature information
Patients Injury state
If you are unable to locate the patient in the claims feed, select "Cannot Find Patient" and then look for which of the below information if the adjuster is pulling up as shown above:
Check for employer information on all dcouments to see if UPS or ADP is listed.
Check Adjusters signture to see if UPS or ADP is listed.
If unable to find information on the employer select the "Base" Liberty Mututal option.
If unable to find any information on the employer send to ExceptionsReAuth
Based on the infomration above, which of the Employer Company would you select?
ADP
UPS
Wawa
Liberty Mutual
Based on the information above, which of the Employer Companies would you select?
ADP
UPS
Wawa
Liberty Mutual
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