The EOB from the other insurance should be attached to the claim form and the dates of service, procedure codes and total charges must match, or the claim will deny. All Medicaid requirements, such as pre-certification or prior authorization, must be met before payment will be considered. NO...
The Medicaid Durable Medical Equipment Program is issuing a standardized wheelchair evaluation form to be used as the seating evaluation on all power or motorized wheelchair requests. Effective March 1, 2011, all prior authorization requests must be submitted using the State of Louisiana Medicaid Power...
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Prior Authorization Additionally, this measure adds a provision detailing that a pharmacy benefit manager shall not delay the decision on a request for authorization to dispense a prescription drug for more than seventy-two hours, or twenty-four hours in exigent circumstances in which the patient, ...
the Senate focusing on judicial and executive branch confirmations and attempting to pass "mini-bus" appropriations packages while the House continues to attempt to pass individual appropriations bills. Other legislative initiatives Congress must address include the National Defense Aut...
EXHIBIT 10.54 EXHIBIT XIII-B FORM OF LOUISIANA MORTGAGE Recording requested by: This Instrument prepared by, and when recorded mail to: O'Melveny & Myers 400 South Hope Street Los Angeles, California...
PharmaPlus Specialty Pharmacy provides Prescription Medication, Provider Services and Specialty Drugs in Jackson, New Jersey.
E. If a transfer of structure settlement payment rights has been authorized under this Section, neither the annuity issuer nor the structured settlement obligor shall have any liability to the payee or to any other party for any payment made to the transferee in accordance with the authorization....
EFFECTIVE IMMEDIATELY, PROVIDERS SHOULD USE THE APPROPRIATE CPT CODE WHEN SUBMITTING PRIOR AUTHORIZATION REQUESTS AND CLAIMS FOR GASTRIC BYPASS SURGERY. SUBMISSIONS USING AN "UNLISTED' PROCEDURE CODE WHEN THERE IS A VALID CPT CODE FOR THE PROCEDURE WILL BE DENIED. STERILIZATION...
Focalin XR will be moved to the PDL. Effective March 1, 2011, Focalin XR will no longer require Prior Authorization. ATTENTION ALL GNOCHC AND TAKE CHARGE FAMILY PLANNING PROVIDERS We have identified a claims processing issue that occurred with the implementation of the GNOCHC Program in the ...