Additional Tips on Filing
Here’s other important information you need to know before you begin filling out
your form:
Use current CPT (Current Procedural Terminology) of the American
Medical Association, ICD 9 (International Classification of Diseases)
Diagnostic Codes, or HCPCS (Healthcare Common Procedure Coding
System) Codes maintained by the Centers for Medicare and Medicaid
Services. Or,
Use the Procedure Codes in Chapter III of the MaineCare Benefits Manual
policy section under which you bill. You may access these codes at the
following website: http://www.maine.gov/sos/cec/rules/10/ch101.htm
The required format for a birth date is MMDDYYYY. (Example: January
19, 1947 = 01191947.)
Whether you fill in your claim form by typing, computer, or handwriting,
keep all information within the designated boxes. Do not overlap
information into other fields. If the information is not in the required fields
your claims will be returned to you with a cover letter stating that the
information is not aligned correctly
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