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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