Provider Manual

• Get Started Guide
• Authorizations
• Billing & payment

  • › How to bill
  • › Clinical edits
  • › Code modifiers
  • › Coord. of benefits

    • » COB policy
    • » Determining primary
    • » Reductions to primary
    • » HRA
    • » Medicare-eligibles
    • » No-fault
    • » Workers' comp
  • › Employee billing
  • › Procedures & services
  • › Making corrections
  • › Reviews & appeals
  • › Overpayment /CBF
• Provider responsibilities and standards
• Performance programs
• Plans and benefits