Pre-Claim Review - JE Part B
Medical Review
- Documentation Requirements
- How to Read an ADR
- How to Respond to ADR
- MR FAQs
- MR Overview
- MR Reopening
- Medical Documentation Signature Requirements
- Medical Record Review Results
- Order Authentication Requirements
- Pre-Claim Review
- Post-Pay Reviews
- Pre-payment Review
- Targeted Probe and Educate (TPE)
- Who Reviewed My Claim
- Why Is My Claim Denied
- Other Review Contractors
Pre-Claim Review
Prior Authorization for Certain Hospital Outpatient Department (OPD) Services - View outpatient department services that require prior authorization, the authorization process, how to submit a prior authorization request, the documentation requirements and coverage for the 5 services: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, vein ablation
Last Updated Thu, 02 Jul 2020 15:23:29 +0000