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Basic Medicaid Billing Guide

September 2009

CPT codes, descriptors, and other data only are copyright 2008 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.

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• Basic Medicaid Billing Guide (4.0 MB)
• Title Page and Table of Contents
• Section 1 - Who's Who in the Medicaid Program
• Section 2 - Recipient Eligibility
• Section 3 - Medicaid Provider Information
• Section 4 - Managed Care Provider Information
• Section 5 - Submitting Claims to Medicaid
• Section 6 - Prior Approval
• Section 7 - Third-Party Insurance
• Section 8 - Resolving Denied Claims
• Section 9 - Remittance and Status Report
• Section 10 - Electronic Commerce Services
• Section 11 - National Provider Identifier
• Appendix A: Automated Voice Response System
• Appendix B: Contacting EDS - Telephone Instructions
• Appendix C: Glossary of NPI Terms
• Appendix D: EDS Provider Services Representatives
• Appendix E: List of Abbreviations
• Appendix F: Verifying Recipient Eligibility