Transcription of PMCARE SDN BHD - Medibase
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PMCARE SDN BHD - Medibase
PMCARE SDN BHD WORKING GUIDELINES FOR HOSPITALS AND SPECIALIST CLINICS TABLE OF CONTENT ITEM PAGE CHAPTER 1: 1 Introduction 1 Hospital & Specialist Clinic Address 1 Provider Code 1 Identification of PMCARE Member 1 Verification of PMCARE Member 1 Medical Record 1 Exclusions 2 Charges 2 Claims Submission 2 Submission Deadline 2 Deductions From Amount Claimed 2 Appellant 2 Temporary Suspension of Service 2 Termination 2 Communication 3 CHAPTER 2: CONSULTATION AND ADMISSION PROCEDURES 4 Provision of Services 5 For PMCARE Members 5 For PMCARE Premier Card Holder 5 CHAPTER 3: BILLING AND DISCHARGE PROCEDURES 6 Guides on Discharge Procedures 7 For PMCARE Members 7 For PMCARE Premier Card Holder 7 CHAPTER 4: CLAIMS SUBMISSION PROCEDURES 8 Claims Submission Procedures 9 Submission Deadline And Requirements 9 Documents and Information Required for Claims Submission for Reimbursement 9 PMCARE Premier Card Holder 9 CHAPTER 5: EXCLUSION LIST 10 Exclusion List 11 APPENDI
pmcare sdn bhd working guidelines for pmcare panel of hospital & specialist clinics chapter 1 effective date: 24/06/2016, revision 8 1 1.1 introduction
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