Submission, Processing, and Payment of Claims. 6.1 Form and content of claims. Facility must submit claims for Covered Services as described in the Protocols, using current, correct and applicable coding.
Submission, Processing, and Payment of Claims. 8.1 Form and content of claims. Participating Provider must submit claims for Covered Services as described in the Protocols, using current, correct, and applicable coding. Participating Providers will submit claims only for services performed by Participating Providers or their staff. Pass through billing is not payable under this Agreement.
Submission, Processing, and Payment of Claims. 7.1 Form and content of claims. Medical Group must submit claims for Covered Services in a manner and format prescribed by United, as further described in the Protocols. Unless otherwise directed by United, Medical Group shall submit claims using current CMS 1500 form or its successor for paper claims and HIPAA standard professional or institutional claim formats for electronic claims, as applicable, with applicable coding including, but not limited to, ICD, CPT, Revenue and HCPCS coding. Medical Group will submit claims only for services performed by Medical Group or Medical Group staff. Pass through billing is not payable under this Agreement.
Submission, Processing, and Payment of Claims. 7.1 Form and content of claims. Medical Group must submit claims for Covered Services as described in the Protocols, using current, correct, and applicable coding. Medical Group will submit claims only for services performed by Medical Group or Medical Group staff. Pass-through billing is not payable under this Agreement.
Submission, Processing, and Payment of Claims
