Transportation Services - in

Claim Submission and Processing

Claim Submission and Processing Revision History iv Library Reference Number: PROMOD00004 Published: January 23, 2018 Policies and procedures as of July 1, 2017

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IHCP announces upcoming changes to the HIP …

IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT201776 NOVEMBER 30, 2017 Page 1 of 5 IHCP announces upcoming changes to the HIP program The Indiana Health Coverage Programs (IHCP) has applied for

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Home and Community-Based Services Waivers - in

List of Excluded Individuals and Entities (LEIE), a database accessible to the general public that provides information about parties excluded from participation in …

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Early and Periodic Screening, Diagnosis, and …

Revision History EPSDT/HealthWatch Library Reference Number: PROMOD00030 v Published: December 12, 2017 Policies and procedures as of April 1, 2017

Prior Authorization - Indiana Medicaid Provider Home

Prior Authorization Revision History iv Library Reference Number: PROMOD00012 Published: April 26, 2018 Policies and procedures as of February 1, 2018

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Indiana Health Coverage Programs

Third-Party Liability (TPL)/Medicare Special Attachment Form 1 Version 1.0, October 2016 (Introduction updated August 2017) Indiana Health Coverage Programs

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Third-Party Liability (TPL)/Medicare Special …

Third-Party Liability (TPL)/Medicare Special Attachment Form Instructions 1 Version 2.1, August 2017 Payer Seq Required.Relates to payer identified in section 3.

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Pharmacy Services - Indiana Medicaid Provider Home

Revision History Pharmacy Services Library Reference Number: PROMOD00042 v Published: June 19, 2018 Policies and procedures as of February 1, 2018

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Presumptive Eligibility - in

4 What Is Presumptive Eligibility and Why Is It Important? Presumptive eligibility allows uninsured or underinsured individuals and their families to

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Medical Policy Manual - Indiana Medicaid Provider …

Anesthesia is defined as the loss of sensation resulting from pharmacologic depression of nerve function or from neurologic dysfunction. Additionally, anesthesia is a broad term for

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Ambulance Services Medical Necessity of …

Ambulance Services Medical Necessity of Ambulance Services Medicare Part B (Medical Insurance) pays for ambulance transports when you are transported to a Medicare-covered destination, for a medical

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Eligible and ineligible expenses - BenefitHelp …

1 Eligible and ineligible expenses . Eligible expenses Seeking reimbursement For expenses to be eligible for reimbursement, they must: A. Be for products or services that treat a medical …

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INSURANCE - New Jersey

3. Medical services or equipment provided outside of the geographic boundaries of New Jersey except as set forth in N.J.A.C. 11:3-29.4(d)2; and

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SECTION I - GENERAL INFORMATION - Your 9-1-1 …

PHYSICIANS CERTIFICATION STATEMENT SECTION I - GENERAL INFORMATION Yes No Run #: Policy #: Pre-Auth #: Date of Service: Name: DOB: Patient's SSN:

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