PPO - - Effective Date: September 1, 1996 |
| |
|
|
| |
FRONT OFFICE |
|
Eligibility/Verification Phone Number:
|
See Patient Card |
Precert/Authorization Phone Number:
|
See Patient Card |
Precert/Authorization Fax Number:
|
See Patient Card |
Mental Health Carve Out:
|
NA |
| |
CLAIMS FILING &
BILLING INFORMATION |
|
Claim Filing Deadline:
|
Varies by Plan |
Appeal Time Frame:
|
Varies by Plan |
Claim Payor:
|
See Patient Card |
Claim Address:
|
See Patient Card |
Electronic Claim Accepted?
|
Yes |
| |
|
| |
LABS |
|
Quest
|
| |
|
Memorial Hermann Contracted?
YES
|
|
