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IL - Meridian Medicaid Provider Manual 2021
Centene Corporation, a Fortune 50 company, is a leading multi-national healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high quality, and …
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PROVIDER CLAIMS MANUAL
www.ilmeridian.comExplanation of Benefits (EOB) 23 Encounter Billing Guidelines – ERC, FQHC, and RHC 23 Electronic Claims Submission 23. Section . 6: Grievance and Appeals Process 2. 4 Grievance and Appeals Overview 24 Appeals 24 Member Expedited Appeals 25. Section . 7: Coordination of Benefits (COB) 27 Overview 27 Claims Guidelines for Dual-Eligible Members 27
MeridianHealth - Billing Manual
www.ilmeridian.comsystem for processing. A DENIAL is defined as a claim that has passed minimum edits and is entered into the system, however has been billed with invalid or inappropriate information causing the claim to deny. An EOP will be sent that includes the denial reason. A comprehensive list of common delays and denials can be found below.
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