67 Search results for "forms"

1. New Fax Number for OA Change Forms

   • Mar 26, 2014
   • Category: Provider Announcements 2013-2014

   ... r for submitting Office Administrator (OA) Change Forms has changed. The new fax number is 855-710-1...
   New Fax Number for OA Change Forms
   

2. Sterilization Consent Forms and Hysterectomy Statement Reminders

   • Mar 25, 2014
   • Category: Provider Announcements 2013-2014

   ... 2. All signatures on both Sterilization Consent Forms and Hysterectomy Statements must be legible....
   Sterilization Consent Forms and Hysterectomy Statement Reminders
   

3. New FAQs and Forms Added to Update Office Administrator

   • Feb 11, 2014
   • Category: Provider Announcements 2013-2014

   New FAQs and Forms Added to Update Office Administrator
   ... ted with it, which is linked to from the FAQ. The forms can also be found on the Provider Policies, ...
   

4. Clarification on Long Term Care Prior Approval Requests

   • Dec 2, 2013
   • Category: NCTracks Prior Approval Announcements

   ... bmission. Providers must use one of the following forms to submit the MD signature: - Long Term ...
   

5. Only 1 ADA Form Required for PA Submissions

   • Dec 2, 2013
   • Category: NCTracks Dental Announcements

   ... the legacy system, Orthodontists submitted 2 ADA forms for every Prior Approval (PA). However, onl...
   

6. 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
   

7. 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 ...
   

8. 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 ...
   

9. 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)
   

10. 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...