Transcription of NEW YORK STATE MEDICAID PROGRAM - …
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NEW york STATE MEDICAID PROGRAM COMPREHENSIVE MEDICAID CASE MANAGEMENT (CMCM) BILLING GUIDELINES CMCM Billing Guidelines Version 2004 1 Page 1 of 48 TABLE OF CONTENTS Section I - Purpose Statement .. 2 Section II Claims Submission .. 3 Electronic 3 Paper Claims .. 7 Billing Instructions for CMCM 10 Section III Remittance Advice .. 25 Electronic Remittance Advice .. 25 Paper Remittance Advice .. 26 CMCM Billing Guidelines Version 2004 1 Page 2 of 48 Section I - Purpose Statement The purpose of this document is to assist the provider community in understanding and complying with the New york STATE MEDICAID (NYS MEDICAID ) requirements and expectations for: Billing and submitting claims.
Pre-requirements for the Submission of Electronic Claims ... (ETIN) • A Certification Statement • A User ID and Password • A Trading Partner Agreement • Testing ETIN This is a four-character submitter identifier, issued by the NYS Medicaid Fiscal Agent ... and that the printer ink is dark enough to provide clear legibility. 2 3 2 3 .
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