Common use of SERVICE REPORTING AND CLAIMS OVERPAYMENT POLICY Clause in Contracts

SERVICE REPORTING AND CLAIMS OVERPAYMENT POLICY. I. Service Reporting Provider will furnish a claim or a report to BCBSM in the form BCBSM specifies and furnish any additional information BCBSM may reasonably request to process or review the claim. All services shall be reported without charge, with complete and accurate information, including diagnosis, and procedure codes approved by BCBSM, license number of prescribing physician/provider, and such other information as may be required or published by BCBSM to adjudicate claims.

Appears in 5 contracts

Samples: Participating Agreement, Participation Agreement, Participation Agreement

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SERVICE REPORTING AND CLAIMS OVERPAYMENT POLICY. I. Service Reporting Provider will furnish a claim or a report to BCBSM in the form BCBSM specifies and furnish any additional information BCBSM may reasonably request to process or review the claim. All services shall be reported without charge, with complete and accurate information, including diagnosis, and procedure codes approved by BCBSM, license number or appropriate identifier of prescribing physician/provider, and such other information as may be published as required or published by BCBSM to adjudicate claims.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

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