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Radiology - Harvard Pilgrim Health Care

Radiology - Harvard Pilgrim Health Care

www.harvardpilgrim.org

• For UB–04 or 837I, bill revenue codes with CPT/HCPCS. • Identify multiple units of radiological services in Form Locator 46 of the paper UB04 or segment SV2, data element SV205 with UN qualifier in SV204 of loop 2400 of the 837I. • Submit unlisted codes on paper with supporting documentation describing the service performed.

  Health, Code, Care, Pilgrim, Radiology, Hcpcs, Harvard, Unlisted, Harvard pilgrim health care, Unlisted codes

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