PPO - - Effective Date: October 1, 1997 |
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FRONT OFFICE |
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Eligibility/Verification Phone Number:
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See Patient Card |
Precert/Authorization Phone Number:
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See Patient Card |
Precert/Authorization Fax Number:
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See Patient Card |
Mental Health Carve Out:
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Call Benefits |
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CLAIMS FILING &
BILLING INFORMATION |
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Claim Filing Deadline:
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95 days |
Appeal Time Frame:
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180 days from the date of EOB |
Claim Payor:
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See Patient Card |
Claim Address:
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See Patient Card |
Electronic Claim Accepted?
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Yes |
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LABS |
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Call Benefits
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Memorial Hermann Contracted?
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Yes |
