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835 Transaction Companion Guide - CDPHP

835 Transaction Companion Guide ANSI x12 Version 005010X221A1 General Guidelines August 201 5 CDPHP 835 Transaction Companion Guide 2 Table of Contents Disclosure .. 3 Preface .. 3 1. Introduction .. 4 Scope .. 5 Overview .. 5 2. Getting started .. 5 Electronic Data Interchange Enrollment .. 5 Electronic Funds Transfer .. 5 835 Electronic Remittance Advice (ERA) .. 5 Questions and General Information .. 5 3. Certification and Testing Overview .. 5 Test Plan.

WS_FTP (GUI, Windows, version 7.0 and higher; version 7.62 has a compression-related bug which prevents it from uploading large, highly compressible files) BitKinex (GUI, version 2.5 and higher, Windows) F-Secure SSH (command-line, 3.2.0 Client for Unix, password and client key modes) FileZilla (GUI, Windows)

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CDPHP Member Claim Form

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15-0615-0415 CDPHP® Member Claim Form Member: Use this form to request reimbursement of out-of-pocket expenditures for Covered Services. Reimbursement will be made to the Subscriber and sent to the address on file.

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CRC Screening: FIT vs Cologuard (FIT-DNA)

www.cdphp.com

CRC Screening: FIT vs Cologuard (FIT-DNA) Effectiveness, convenience, and cost are the three factors that determine which tests to pursue with a patient who is resistant to screening colonoscopy (as well as flexible sigmoidoscopy or CT colonography). Effectiveness: Though it is often cited that Cologuard has a sensitivity of 92% compared with FIT’s sensitivity of 74%, it is …

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CDPHP Utilization Review Prior Authorization Form

www.cdphp.com

2: Briefly describe the patient-specific symptoms and duration , medical justification, and summary of clinical findings for the request: In addition, supporting clinical documentation (including pertinent consultation/office visits, lab results, radiology reports, etc.) must be submitted via fax or mail. Photos must be mailed.

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CDPHP® Utilization Review Prior Authorization/Medical ...

www.cdphp.com

Fax or mail this form to: CDPHP Utilization Review Department, 500 Patroon Creek Blvd., Albany, NY 12206-1057 Fax: (518) 641-3207 • Phone: (518) 641-4100 Please note: If the requirement for prior authorization for a particular service or procedure has been removed by CDPHP, there is no need for you to submit this form for consideration.

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