Quick Reference Guide for Participating Providers …

Using Correct License-level Modifiers on Your Claims

©2005-2018 Magellan Health, Inc. Last reviewed 2/2018 Using Correct License-level Modifiers on Your Claims Magellan organizational providers and individual providers submitting professional (CPT) claims as part of an organization (using the organization’s Taxpayer Identification Number) must submit claims with the license-level modifier that …

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Coordination of Benefits - Magellan Provider

Coordination of Benefits Coordination of Benefits Magellan coordinates benefits with other payers when a member is covered by two or more group health benefit plans.

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2018 Handbook for the National Provider Network

National Provider Network Handbook 4—© 2000-2018 Magellan Health, Inc. 11/17 Case Management Member Rights and Responsibilities Magellan Clinical Practice Guidelines

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Policy and Standards - Magellan Provider

FALSE CLAIMS LAWS AND WHISTLEBLOWER PROTECTIONS Page 1 of 23 —PROPRIETARY Magellan Health policies apply to all subsidiaries and affiliates, including but not limited to Magellan Healthcare, …

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Treatment Record Review Tool - Magellan Provider

Treatment Record Review Tool This is the standard review tool used for all behavioral health records. Additional indicators may be included based on regulatory and/or customer requirements.

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Authorization to Use or Disclose Protected Health ...

Last Updated: 03/10/07 Authorization to Disclose Protected Health Information to Primary Care Physician Communication between your behavioral health provider(s) and your primary care physician (PCP) is important to make sure all care is complete,

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Magellan’s Update of its Introduction to the …

© 2005-2017 Magellan Health, Inc. This document is the proprietary information of Magellan Health, Inc. and its affiliates. 6/17 Magellan’s Update of its Introduction to the American Psychiatric Association’s Clinical Practice Guideline

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Organization & Facility Handbook Supplement

Organizational and Facility Provider Handbook Supplement 2—© 2004-2018 Magellan Health, Inc. 11/17 Table of Contents SECTION 1: INTRODUCTION ..... 4

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1. HOSPITALIZATION - Hospitalization is the highest …

MAGELLAN UNIVERSAL SERVICES LIST - Includes Preferred HIPAA Compliant Codes 3.1 Partial Hospitalization, Psychiatric. Assists individuals who …

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2018 Handbook for the National Provider Network

National Provider Network Handbook 4—© 2000-2018 Magellan Health, Inc. 11/17 Case Management Member Rights and Responsibilities Magellan Clinical Practice Guidelines

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Blue Cross and Blue Shield Service Benefit Plan - …

The Blue Cross and Blue Shield Association and participating Blue Cross and Blue Shield Plans

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Final Audit Report - OPM.gov

u.s. office of personnel management office of the inspector general office of audits . final audit report . subject: audit of information systems

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Guide 11 Member’s Responsibilities - United States …

t is the member’s responsibility to maintain physical fitness standards constantly and consistently, not solely at the time of semi-annual testing.

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2016 Guide 13 Command Fitness Guide Physical …

2016 . Guide 13 . Command Fitness Guide . Command/Unit . Physical Training (PT) and . Fitness Enhancement Program (FEP)

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Helping insured patients get quality testing at …

Helping insured patients get quality testing at lower costs UnitedHealthcare members are getting a stronger network. Beginning January 1, 2019, Quest Diagnostics will be innetwork with UnitedHealthc- are (UHC) across all geographies, in

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Quick Guide to Blue Cross and Blue Shield Member …

Quick Guide to Blue Cross and Blue Shield Member ID Cards A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

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Claim Filing Addresses - Highmark

OCTOBER, 2008 Claim Filing Addresses, continued Western Region Only If Type Of Claim Is… Then Mail To… Federal Employee Program (FEP) claims Federal Employee Program

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SPECIFICATIONS - pureflex.com

PUREFLEX INNOVATION No other company in the industry rivals PureFlex’s product integra-tion. Using the most advanced manufacturing techniques, Pure-