A form you or your doctor fill out and submit to your health plan for payment. Claim An itemized bill from a health care provider, for health services provided to a member. COBRA This stands for Consolidated Omnibus Budget Reconciliation Act of 1985. This federal act requires group health pla...
A form you or your doctor fill out and submit to your health plan for payment. Claim An itemized bill from a health care provider, for health services provided to a member. COBRA This stands for Consolidated Omnibus Budget Reconciliation Act of 1985. This federal act requires group health pla...
Mandatory Documentation MAD-046 ¾ DO fill out all information on the left hand side of the form, including provider numbers and procedure codes. ¾ DO NOT write on the right hand side of the form. Mandatory Documentation Individual Service Plan (ISP) ¾ All requested services ...