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Provider (Claims) Infos
This section offers links to our Provider Infos detailing our processes and procedures for paper and electronic claims submissions. Choose one of the links below for information pertaining to a specific claims function.
Administrative Appeal Request Memo
This Memo details our appeals process for administrative appeals.
Authorization and Billing for Outpatient Services This Provider Info identifies our process for obtaining authorizations for outpatient services and the correct CPT codes to use for proper billing of these services. Billing for Bed Hold Days This Policy outlines the process of billing for the absence of a Member from a residential program. Claims Submission Deadline
This Provider Info defines deadlines for all regular claims submissions, resubmissions of corrected claims, TPL submissions, and expectations of response time.
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