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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: F. Paying Interest on Non-Contract Claims
Claims Processing Guidelines and Procedures: 07-04, Attachment: G. Adjusting overpaid and underpaid claims
Claims Processing Guidelines and Procedures: 07-04, Attachment: H. Processing Denied MHP Claim
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 K: Procedure for Updating Supplemental Payment for Prop 56
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, Attach M: Procedure for Identifying, Reporting, and Recovering Mental Health

 

 

 

 

 

 


Original policy date: 11/14/07
Last review: Dec. 2011/ January 2017/July 2018