EX Reason EX-Code Description Code
pay: claim and auth provider status not matching : hl: 15 ; deny: claim and auth locations do not match : hp; 15 : deny: claim and auth service provider not matching : hs: 15 ; deny: claim and auth provider specialty not matching : ht; 15
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Provider and Billing Manual - Peach State Health Plan
www.pshpgeorgia.comFederal and State Laws Governing the Release of Information ... This Provider Manual is a reference guide for providers and their staff providing services to ... Providers will ensure that their hours of operations are convenient to the member and do
Georgia - Outpatient Medicaid Prior Authorization Fax Form
www.pshpgeorgia.comPRIOR AUTHORIZATION FAX FORM Complete and Fax to: 1-866-532-8834. Request for additional units. Existing Authorization . Units. Standard Request . Urgent Request - I certify this request is urgent and medically necessary to treat an injury, illness or condition (not life threatening) within 48 hours
PSHP-Quick Reference Guide
www.pshpgeorgia.comFunctional status assessment ... or newly active COPD, who received appropriate spirometry testing to confirm the diagnosis. Spirometry testing should be completed within 6 months of the new diagnosis or exacerbation. CPT. 94010, 94014-94016, 94060, 94070, 94375, 94620.
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