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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. Washington Apple Health is administered by the Washington State Health Care Authority.

Jun 01, 2021 · Claim adjustment reason codes and remittance advice reason codes CARC/RARC – The adjustment and reason code sets used to report payment adjustments in the 835. CNSI – The contracted vendor for Washington State’s Medicaid Management Information System (MMIS) known as ProviderOne. Corrected Encounters – Encounter records

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  Code, Reasons, Adjustment, Remittance, Reason codes, Adjustment reason codes and remittance

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