Transcription of Mercy Care Claims Processing Manual
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Mercy Care Claims Processing Manual
Visit: Care Claims Processing ManualMERCY CARE Claims Processing Manual GENERAL Claims /BILLING GUIDELINES FOR ALL PLANS Mercy Care Claims Processing Manual Page 1 of 124 Last Update: October 2019 Proprietary TABLE OF CONTENTS All new changes to the Claims Processing Manual will be highlighted in yellow for your convenience. CHAPTER 1 GENERAL Claims Processing INFORMATION MC Website Claims Mailing Addresses, Electronic Vendors and contact Information Form Types and Instructions 1500 (02-12) Form Completion Instructions UB-04 (CMS-1450) Form Completion Instructions Electronic Tools and Mercy Care Web Portal Clean Claim definition Regulatory Turnaround Times Interest Payments Prompt Payment Discount Timely Filing National Correct Coding Initiative Resubmission Process - Recoupment Process Overpayments Medical Necessity Reviews Claim Disputes Mercy CARE Claims Processing Manual GENERAL Claims /BILLING GUIDELINES FOR ALL PLANS Mercy Care Claims Processing Manual Page 2 of 124 Last Update.
1.1 – Claims Mailing Addresses, Electronic Vendors and Contact Information . 1.2 – Form Types and Instructions. 1500 (02-12) Form Completion Instructions. UB-04 (CMS-1450) Form Completion Instructions. 1.3 – Electronic Tools and Mercy Care Web Portal. 1.4 – Clean Claim Definition 1.5 – Regulatory Turnaround Times 1.6 – Interest Payments
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