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Encounter Data Reporting Guide - Wa

Encounter Data Reporting Guide : Managed Care Organizations (MCO) Managed Care Third-Party Administrators (TPA) Retail Pharmacy ( ncpdp ) Health Home Lead Entities (HH) Behavioral Health Organizations (BHO) Behavioral Health Administrative Services Organizations (BH-ASO/ASO) Published June 1, 2021 About this Guide This supersedes all previously published Encounter Data Reporting Guides. Washington Apple Health means the public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children's health insurance program (CHIP), and state- only funded health care programs.

Jun 01, 2021 · Pharmacy/NCPDP Encounter CARC/RARC Crosswalk Updating per notification to change CARC value from 204 to 200 for the following error/reject codes to be effective 1/15/2021: 99092/reject code 65; 99094/reject code 67; 99095/reject code 68; 99096/reject code 69 See HCA Issue #24037 entitled “CARC/RARC updates effective 1/15/2021” dated 11/13/2020

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