Materiales de referencia

• 2023 Provider and Billing Manual (PDF)
  
• 2022 Provider and Billing Manual (PDF)
• ICD-10 Information
• Quick Reference Guide (PDF)
• Prior Authorization Guide (PDF)
• Payspan (PDF)
• Secure Portal (PDF)
• Provider Newsletters
• Provider Network Guide (PDF)
• Home Health Filing Guidelines (PDF)

Administración médica/Salud del comportamiento

• Pre-Auth Needed?
• Prior Authorization Guide (PDF)
• Inpatient Prior Authorization Fax Form (PDF)
• Outpatient Prior Authorization Fax Form (PDF)
• Fillable Prior Authorization Form (PDF)
• Authorization and Coverage Complaints
• Clinical Practice and Preventive Health Guidelines (PDF)
• Outpatient to ASC Prior Authorization by County (PDF)
• Discharge Consultation Form (PDF)
• SMART Goals Fact Sheet (PDF)
• ABA Prior Authorization Request Form (PDF)

Reclamaciones y pago de reclamaciones

• Claim Dispute Form (PDF)
• No Surprises Act Open Negotiation Form (PDF)

Calidad

• Quality Improvement (QI)
• 2020 HEDIS Quick Reference Guide (PDF)
  
• Practice Guidelines (PDF)

Otro

• Provider Updates