Index of Recent Changes

Dynamic Reporting Data Modified Within The Last 60 Days:

Recent Policies & Procedures Updates:

Administrative Simplification: Claims Processing

Submitting Supporting Documentation - Standard Cover Sheet
Submitting Supporting Documentation - Guideline
Submitting Corrected Claims - Guideline
Following Up on Processed Claims - Guideline
Using Common Modifiers - Guideline
Anesthesia Coding & Billing CRNA Services - Guideline
Getting Claim Receipt and Status Information - Guideline
Quicker Resolution of Payment Responsibility for Injuries - Guideline
Handling EOB Info - Guidelines

Administrative Simplification: Referrals & Prospective Review

Frequently Asked Questions about Referrals and Prospective Review
One-Stop-Shop: Considerations for Using Processing Tables
One-Stop-Shop: Health Plan Product Names & Abbreviations
Using Standard Referral Actions and CHITA Form - Guideline
Guideline for Women's Healthcare
Requesting a Prospective Clinical-Medical Review - Guideline
Requesting a Prospective Clinical-Medical Review - Guideline

Administrative Simplification: Practitioner Credentialing

Handbook for Practitioners' Staff
Confirmation Receipt of Credentialing Application
Effective Date for Claims Adjudication