UPMC Health Plan (Commercial) UPMC HEALTH …

UPMC Health Plan (Commercial) UPMC Health Plan www.upmchealthplan.com © 2014 – 2015 All rights reserved. e 1 UPMC HEALTH PLAN (Commercial) C.2 Employer Group Products at a Glance

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Claims Procedures - UPMC Health Plan

Claims Procedures UPMC Health Plan www.upmchealthplan.com © 2017. All rights reserved. e 6 Paper Claim Forms CMS-1500 forms These forms are for professional services performed in a provider’s office, hospital, or ancillary

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Behavioral Health - UPMC Health Plan

Behavioral Health This section of the UPMC Health Plan Provider Manual contains information pertinent to Behavioral Health Network Providers who …

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Welcome and Key Contacts - Quality Health …

Welcome and Key Contacts – Chapter A Welcome and Key Contacts A.2 Welcome A.3 Provider OnLine A.4 UPMC Health Plan Website A.5 How to Use This Manual . A.7 . Key Contacts . A.8 Table A1 -

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QUICK REFERENCE GUIDE - UPMC Health Plan

Effective 4-1-14 QUICK REFERENCE GUIDE Prior Authorization Provider/Member Services 1-800-425-7800 1-800-650-8762 This Quick Reference Guide (QRC) is a snapshot of requirements for prior authorization,

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G Medical Management5.25.07 - UPMC Health Plan

Medical Management G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify Medical Management G.4 When to Notify Medical Management G.7 Case Management Services

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Workers’ Compensation Provider Billing Guidelines ...

code meets the requirements. ... Workers’ Compensation Provider Billing Guidelines A. Send an e-mail to the Bureau explaining what you have done to determine

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Out-of-Network Care Claim Form - UPMC Health …

Out-of-Network Care Claim Form • Both sides of this form must be completed. Incomplete forms will delay payment. • Complete sections 1-5. Have the doctor who treated you complete the

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UPMC Community HealthChoices (Medical …

UPMC Community HealthChoices (Medical Assistance) – Chapter N UPMC Community HealthChoices (Medical Assistance) N.2 At a Glance N.3 Medical Assistance Managed Care in Pennsylvania

Change Pay-to Address/Tax ID Change - UPMC …

A group billing address must be the same for every doctor/office under that tax ID. The billing address can only be changed if it is for the whole group with that same tax ID.

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Qualified Health Plans | QHP

www. alierahealthcare.com • 8. 44.834.3456. 1M. healthcare professionals. 42 + states. serving the. self-funded health plan market. Why must I choose. between medical

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M ississippi State and School Employees Life and …

M ississippi State and School Employees Life and Health Insurance Plan PLAN DOCUMENT Required f ederal notices are included in the back of this Plan Document.

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OASAS Report on the Utilization of Personnel …

1 OASAS Report on the Utilization of Personnel Subject to the Provisions of Chapter 132 of the Laws of 2010 Consistent with the provisions of Chapter 132 of the Laws of 2010, the New York State Office of

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Connecticut's Criminal Justice Diversion Program: A ...

Connecticut's Criminal Justice Diversion Program: A Comprehensive Community Forensic Mental Health Model By Linda Frisman, Gail Sturges, Madelon Baranoski, and Michael Levinson, Contributing

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BayPath Elder Services Area Agency on Aging FFY …

BayPath Elder Services Area Agency on Aging FFY 2018 - 2021 Area Plan

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APPROVED HCPCS CODES AND MODIFIERS …

approved hcpcs codes and modifiers relating to substance abuse treatment, mental health, and behavioral health1 (as of april 1, 2003) code description

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APPROVED HCPCS AND CPT CODES AND …

2 presence of alcohol and/or drugs H0004 Behavioral health counseling and therapy, per 15 min. H0005 Alcohol and/or drug services; group counseling by a clinician

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DIRECTORY OF HAWAI`I SUBSTANCE ABUSE …

DIRECTORY OF HAWAI`I SUBSTANCE ABUSE TREATMENT PROGRAMS Compiled by Prevention Resource Center Hawai`i Regional Alcohol & Drug Awareness Resource

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