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Serving Wyoming EqualityCare
Providers |
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CMS 1500 Provider Manual and
Bulletins |
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CMS 1500 Provider Manual
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CMS-1500
Provider Manual Updated
To search for specific
information within the PDF document, select Ctrl F on your
keyboard and type your keyword in the find
box. |
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Important Policy
Changes/Additions | |
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The changes below are some of the major changes
to the manual, however there are additional changes that
have not been listed. Please note that due to some of
these changes, other Chapters/Sections in the previous
manuals may have been changed. To be sure you have the
most current information available please download,
print or save a copy for your records.
| Update |
Chapter/Section |
Page |
| Updated
procedure codes for Mental Health |
9.16.17.3.2 |
9-88 |
| Updated the Benefit Plan |
A.3 |
A-5 | | |
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Additional Links
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EqualityCare
& State Healthcare Benefit Plans: Provides client
benefit plan names, descriptions, eligibility limitations,
coverage types and coverage limitations. This information is
useful when determining if a client is eligible for
services.
Explanation of
Benefit Codes (EOB) Code Listing: Lists the EOB code and
description. This is helpful when working the remittance
advice.
NDC Crosswalk
PDF: Provides a listing of the drug related procedure
codes requiring an NDC. The listing provides the NDC, HCPCS (J
codes), HCPCS and NDC descriptions, effective dates, end
dates, and if applicable for Medicare crossovers only.
NDC Crosswalk
Excel: Provides a listing of the drug related procedure
codes requiring an NDC. The listing provides the NDC, HCPCS (J
codes), HCPCS and NDC descriptions, effective dates, end
dates, and if applicable for Medicare crossovers only.
NPI News and
Information: Provides historical transition information,
billing instructions and examples,
etc.
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