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Claims coding and submission guidelines

 
Comprehensive Coding Aid (78 KB)
 
Diabetes Renal Failure Coding Tip Sheet (286 KB)
 
Quick Coding Aid (54 KB)
 
Coding tip sheet for IHA for children & adults (131 KB)
 
General Tips for Billing (44 KB)
 
Claims Submission CMS UB-04 (35 KB)
 
Claims Submission CMS1500 (37 KB)
 
Specialists Taxonomy Codes (82 KB)
 
Claims and Encounter Data Submission (58 KB)
 
Claims Codes (258 KB)

Claims news & updates
P4P billing rates and procedure code corrections March 16, 2018
Changes for designated Pay for Performance measures March 16, 2018
Retro authorization policy February 27, 2018
AIDS waiver program February 1, 2018

Get paid faster

EFT and ERA are fast, secure and more accurate than paper checks

Sign up for EFT/ERA

  • Electronic Funds Transfer (EFT) sends claims payments directly to your bank account
  • Electronic Remittance Advice (ERA) makes it easier to access and reconcile payment information

To get started, download the ERA/EFT Authorization Form