• DMA HOME

• ABOUT DMA
• CONTACT DMA

 

Basic Medicaid and NC Health Choice Billing Guide

October 2012

CPT codes, descriptors, and other data only are copyright 2011 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.

The free Adobe Acrobat Reader is required to view and print these PDF files. 

• Seminar Presentations
  • Combined Sessions (PDF 13.4MB)
  • General Billing Session (PDF, 4.4MB)
  • Professional Billing Session (PDF, 3.9MB)
  • Institutional Billing Session (PDF, 3.6MB)
  • Dental Billing Session (PDF, 3.8MB)
• Basic Medicaid and NC Health Choice Billing Guide (PDF, 6.5MB)
• Guide Cover and Table of Contents
• Summary of Changes
• Section 1 - Who's Who
• Section 2 - Beneficiary Eligibility
• Section 3 - N.C. Health Choice
• Section 4 - Medicaid Provider Information
• Section 5 - National Provider Identifier
• Section 6 - Managed Care Programs
• Section 7 - Prior Approval
• Section 8 - Third-Party Insurance
• Section 9 - Electronic Commerce Services
• Section 10 - Submitting Claims
• Section 11 - Remittance and Status Report
• Section 12 - Resolving Denied Claims
• Appendix A: Automated Voice Response System
• Appendix B: Contacting HP Enterprise Services - Telephone Instructions
• Appendix C: Glossary of NPI Terms
• Appendix D: HP Enterprise Services Provider Services Representatives
• Appendix E: List of Abbreviations
• Appendix F: Verifying Beneficiary Eligibility
• Appendix G: Contractors