| Friday, November 21, 2008 |
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| Claims Forms |
| Requirements for completing specific fields have
changed in the CMS-1500 and UB-92 forms. These revisions took
effect October 30th, 2000 and forms must be filed with this
new information regardless of the date of service. |
 CMS-1500
UB-92
EPSDT
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Encounter Data Reminder
Please keep in mind that Health Partners must satisfy the Department
of Public Welfare (DPW) reporting requirement for encounter
data. Accordingly, Health Partners providers must provide complete
encounter data on a properly completed HCFA-1500 form for each
encounter with a Health Partners member. |
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| 215-991-4350
• Provider Helpline •
1-888-991-9023 |
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