PHARMACY CLAIMS:
PROFESSIONAL CLAIMS:
- Ambulatory Surgery Center Billing Guidelines for Dates of Service On or After 9/1/2021
- COVID-19 Comprehensive Billing Guidelines (07/28/2022)
- Home- and Community-Based Services Provider Rate Increases
- Telehealth Billing Guidelines Effective 07/15/2022
- Telehealth Billing Guidelines for Dates of Service 11/15/2020 thru 07/14/2022
- Telehealth Billing Guidelines for Dates of Service 3/9/2020 through 11/14/2020
- Telehealth Billing Guidance for Dates of Service for 7/4/2019 through 03/08/2020
- SCT Transportation Service Billing Guidance
- Submitting a Professional Claim in MITS
- Other Payer Submission
- Telemedicine Billing Guidance for Dates of Service Prior to 7/4/2019
- Web Portal Billing Guide for Professional Claims
- EDI Companion Guide for Professional Claims
INSTITUTIONAL OR FACILITY-BASED CLAIMS:
- SCT Transportation Service Billing Guidance
- Nursing Facility Billing Clarification for Hospital Stays
- Web Portal Billing Guide for Institutional Claims
- EDI Companion Guide for Institutional Claims
- ODM Hospital Billing Guidelines
- For Dates of Discharge and Dates of Service On or After 9/1/2021
- For Dates of Discharge and Dates of Service On or After 7/1/2018 and Before 8/31/2021
- For Dates of Discharge and Dates of Service On or After 8/1/2017and Before 6/30/2018
- For Dates of Discharge and Dates of Service On or Before 7/31/2017
- HOSPITAL UTILIZATION REVIEW AND ASSOCIATED CLAIM RESUBMISSION Desk Aid