50 Search results for "forms"

1. Required information when submitting ADA forms for NC Health Choice

   • Nov 8, 2013
   • Category: NCTracks Dental Announcements

   ... ontics” in BOX 3 on all mailed or faxed ADA claim forms - Write on outside of the mailing envelop...
   Required information when submitting ADA forms for NC Health Choice
   

2. Prior Approval for Synagis

   • Sep 20, 2013
   • Category: Provider Announcements 2013-2014

   ... about the procedure or the status of a request. Forms faxed to CSC requesting coverage of Synagis ...
   

3. Dental Providers - Guidance regarding PA submission

   • Aug 19, 2013
   • Category: NCTracks Dental Announcements

   ... dental providers have been submitting multiple PA forms for the same recipient. Please submit only ...
   

4. New Prior Approval Page on NCTracks (with DMA PA Forms)

   • Aug 9, 2013
   • Category: Provider Announcements 2013-2014

   ... test N.C. Division of Medical Assistance (DMA) PA forms for submission to NCTracks, both Medical and...
   New Prior Approval Page on NCTracks (with DMA PA Forms)
   

5. Non-NCTracks PA Forms No Longer Accepted After August 15

   • Aug 1, 2013
   • Category: Provider Announcements 2013-2014

   Non-NCTracks Prior Approval (PA) forms will no longer be accepted after August 15. (Non-NCTracks PA...
   Non-NCTracks PA Forms No Longer Accepted After August 15
   Pharmacy PA forms - www.nctracks.nc.gov/content/public/providers/pharmacy/forms.html Medic...
   

6. Submit Prior Approval Requests via NCTracks Portal or Use New PA Forms

   • Jul 30, 2013
   • Category: Provider Announcements 2013-2014

   ... can save time and effort by not submitting paper forms. Requests submitted via the NCTracks provide...
   ... proval Requests via NCTracks Portal or Use New PA Forms
   ... r PA requests should make sure they are using CSC forms and not those from legacy systems. (Forms fr...
   

7. Paper Applications and Change Requests No Longer Accepted

   • Jul 24, 2013
   • Category: Provider Announcements 2013-2014

   ... dentialing applications as well as change request forms submitted on paper are no longer being accep...
   

8. Prior Approval - Electronic Submittals Encouraged

   • Jul 9, 2013
   • Category: Provider Announcements 2013-2014

   ... can save time and effort by not submitting paper forms. CSC, the new DHHS fiscal agent, will ma...
   ... r PA requests should make sure they are using CSC forms and not those from legacy systems. Appropria...
   

9. Prior Approval

   • Category: Providers

   ... However, providers can also submit some paper forms via mail or fax. The links below reference t...
   ... ail the prior approval request, they must use the forms on the NCTracks Prior Approval page. (See l...
   ... bmission. Providers must use one of the following forms to submit the MD signature: - Long Term ...
   Updated NCTracks Prior Approval Request Forms and Procedure for Retroactive NC Health Choice Request...
   ... icy Website for additional information. The below forms must be sent as the top page with any attach...
   The below forms should be sent in to accompany a PA request. These forms will NOT create a PA reques...
   ... ded, at which time both policies will use the new forms located on the PDN webpage.
   When either of the following forms are used, they should be uploaded as attachments to the PA r...
   

10. Provider Policies, Manuals, Guidelines and Forms

    • Category: Providers

    The following policies, manuals, guidelines, and forms are intended to assist providers in billing f...
    Provider Policies, Manuals, Guidelines and Forms