Claim Status Online
Use the Claims Inquiry tool to find out the status of any claim. You can
search by claim number, or by patient name or number.
Need an NPI Number?
All health care providers will need a National Provider Identifier number to
bill for services beginning in May 2007. Registering for one is simple: go
to nppes.cms.hhs.gov/PPPES.
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Here's the information you need to speed the claims and payment
process.
How to Bill The basic process for submitting claims for professional charges and facility billing, including diagnosis coding guidelines Capitation What services are paid per capita and what the rates are by age and gender Clinical Editing Policy How Priority Health determines code usage Code Modifiers When to use modifiers that can cause billing problems Coordination of Benefits Handling billing for dual coverage, car accidents, Worker's Comp, and other COB circumstances Employee Billing Guidelines for protecting the privacy of Priority Health employees and dependents as patients Procedures & Services How to bill for everything from anesthesia to vision care Making Corrections How to change and resubmit claims, codes, and payments Appeals How to appeal a denied claim Overpayment Recovery Time Limits Priority Health's policy on recovering overpayments to providers
Last modified
05/05/08
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