Glossary

Bill ID#- Another phrase for a Worker’s Comp Claim #; should be transferred over to the Worker’s Comp Line.

Check Number- A check number associated with a check issued by Zelis Payments. 

Claim Number- An identification number utilized to locate a specific claim or service for a patient. 

Clearing House- An outside company (3rd party) contracted by the provider to send EOPs (ERA’s). They review the claim and payment and file the document.

Date of Service (DOS)- The date that the patient was seen at the Provider’s office. 

EOB- Explanation of Benefits.

EOP- Explanation of Payment. 

EOR- Explanation of Reimbursement. 

ERA- Electronic Remittance Advice. This term is primarily used by Clearing Houses.

NPI Number- National Provider Identifier. 

Payer/Payor- The Health Insurance Company that provides the payment for the patient’s claim to the Provider’s office.

Payment ID- Zelis Payment Identification Number is given to every payment file we receive. 

Provider ID- A unique number assigned to each account and can be used to differentiate subaccounts with the same TIN. Providers won’t know this number.

Provider/Payee- The practice/doctor that the insurance company is paying. This could be a specific physician or an office/facility. 

Tax ID Number (TIN)- Legal business ID issued by the IRS to the business. 

1. We locate an account/profile using the Tax ID Number associated with the caller’s request. 

2. All Tax ID Numbers have nine digits. No exceptions. 

VCC- Virtual Credit Card