NCTracks
45 Search results for "authorization"
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Bypass for PA Edit When Medicare is Primary Payor
- Aug 11, 2016
- Category: Secondary Claims
... claim for Medicare do not require Medicaid prior authorization (PA). A previously identified issue ...
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July 2016 Medicaid Bulletin Available
- Jul 5, 2016
- Category: Provider Announcements - 2016
... tient Specialized Therapy Claim Denials for Prior Authorization - Pharmacy Reimbursement Methodolo...
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Claim Issue for Outpatient Specialized Therapy Services
- May 24, 2016
- Category: Provider Announcements - 2016
... ATIENT SPECIALIZED THERAPY SERVICES REQUIRE PRIOR AUTHORIZATION. In these cases, the benefit health ...
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Update on Outpatient Specialized Therapy Claims and PA
- Apr 29, 2016
- Category: Provider Announcements - 2016
... Therapy claims will deny when the required prior authorization (PA) has been denied or has expired,...
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Reminder - TPL bypass for High Tech Imaging (eviCore) Claims
- Apr 22, 2016
- Category: Secondary Claims Announcements
... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...
... icy 1K-7 for the list of codes that require prior authorization for high tech imaging. * In... -
April 2016 Medicaid Bulletin Available
- Apr 4, 2016
- Category: Provider Announcements - 2016
... ge in Processing of Accounts Receivable - Prior Authorization for Outpatient Specialized Therapies...
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New DME Edit for HCPCS code E0483
- Jan 29, 2016
- Category: Provider Announcements - 2016
... is listed as Lifetime. The device requires Prior Authorization. Once prior authorization has been g...
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TPL bypass for High Tech Imaging (eviCore) Claims
- Jan 29, 2016
- Category: Secondary Claims Announcements
... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...
... icy 1K-7 for the list of codes that require prior authorization for high tech imaging. * In... -
Training on PA for Chiropractic and Podiatry Services for MPW
- Dec 9, 2015
- Category: 2015 Training Announcements
... in accepting Prior Approval (PA) requests for the authorization of chiropractic and podiatry service...
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Community Care of NC/Carolina ACCESS Overrides
- Nov 17, 2015
- Category: Provider Announcements - 2015
... ity Care of NC/Carolina ACCESS (CCNC/CA) Referral Authorization from the member's CCNC/CA Primary Ca...
... member without first obtaining a CCNC/CA Referral Authorization from the CCNC/CA PCP of record and t...