Transcription of 2021 Provider Billing Manual - Carolina Complete Health
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2021 Provider Billing Manual - Carolina Complete Health
2022 Provider Billing Manual 2022 Carolina Complete Health . All rights reserved. 1 | P age Introductory Billing Information .. 5 Billing Instructions .. 5 General Billing Guidelines .. 5 Claim Forms .. 6 Billing Codes .. 6 CPT Category II Codes .. 6 Encounters vs Claim .. 7 Clean Claim Definition .. 7 Non-Clean Claim Definition .. 7 Rejection versus Denial .. 7 Claims Payment Information .. 9 Systems Used to Pay Claims .. 9 Electronic Claims Submission .. 9 Paper Claim Submission .. 10 Basic Guidelines for Completing the CMS-1500 Claim Form (detailed instructions in appendix): 11 Electronic Funds Transfers (EFT) and Electronic Remittance Advices (ERA) .. 11 Common Causes of Claims Processing Delays and Denials .. 11 Common Causes of Up Front Rejections .. 12 Prompt Pay .. 12 Claim Payment .. 12 Timely Filing .. 13 Claim Denials.
to support your claims billing needs and can be used in conjunction with the CCH Provider Manual located in the “For Providers” section of our website at: . ... be typed or printed and in the original red and white version to ensure clean acceptance and processing. All claims with handwritten information or black and white forms will be ...
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