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The other ID number of the referring provider, ordering provider, or other source should be reported in 17a in the shaded area. The qualifie...
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Corrected Claims A corrected claim is a claim that has already been processed, whether paid or denied, and is resubmitted with additional...
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How should I list the name of the ordering/referring provider when submitting my paper and electronic claims? Answer: Paper Claims- Blo... -
For Adjustments: When requesting an adjustment to a paid claim, enter an “A” followed by the 13-character internal control number (ICN) as...
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“CLIA” - The Clinical Laboratory Improvement Act and CMS implementing regulations and processes. A paper claim for laboratory testing ...
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FLs 18 thru 28. Condition Codes. a. Each code is two numeric digits. b. If code 07 is entered, type of bill must not be hospice 81X or 8...
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Item 17 Enter the name of the referring or ordering physician if the service or item was ordered or referred by a physician. All physicia... -
Prior Authorization Number This is a required field for the purposes outlined below. • Enter the Quality Improvement Organization (QIO) ...
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