Claims Processing Guidelines and Procedures: 07-04
Financial
Claims Processing Guidelines and Procedures: 07-04
Attachments:
Claims Processing Guidelines and Procedures: 07-04, Attachment: A. Explanation of Payment (EOP) Procedure
Claims Processing Guidelines and Procedures: 07-04, Attachment: B. Receipt and Processing of Claims from Providers
Claims Processing Guidelines and Procedures: 07-04, Attachment: C. Processing Payable MHP Claims
Claims Processing Guidelines and Procedures: 07-04, Attachment: D. Processing Denied MHP Claims
Claims Processing Guidelines and Procedures: 07-04, Attach E: Investigating Pended Claims before Final EOP Run
Claims Processing Guidelines and Procedures: 07-04, Attachment: G. Adjusting overpaid and underpaid claims
Claims Processing Guidelines and Procedures: 07-04, Attach I_Procedure for setting up providers and fees schedules in MSO
Claims Processing Guidelines and Procedures: 07-04, Attach J :Processing Payable MHP Claims
Claims Processing Guidelines and Procedures: 07-04, Attach L: Procedure for Reimbursing Provider Claims for Telehealth and Phone
Claims Processing Guidelines and Procedures: 07-04 , Attachment N: Procedure for System Maintenance
Original policy date: 11/14/07
Last review: Dec. 2011/ January 2017/July 2018