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Provider Manual

Recent Updates

November 26, 2018

CMS 1500 Sample Claim Form & Instructions

http://www.securityhealth.org:443/enproviders/provider-manual/badgercare-plus/claims-processing-policies-and-procedures/cms-1500-instructions

CMS 1500 Sample Claim Form and Instructions

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/claims-processing-policies-and-procedures/cms-1500-instructions

UB-04 Instructions and Sample Claim Form

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/claims-processing-policies-and-procedures/ub-04-instructions-and-sample-claim-form

November 30, 2018

Medicare Advantage Coverage Inquiry for Organization Determination Process

http://www.securityhealth.org:443/enproviders/provider-manual/medicare-advantage/care-management/coverage-determination

November 16, 2018

Hospice Care Coordination

http://www.securityhealth.org:443/enproviders/provider-manual/medicare-advantage/care-management/hospice-care-coordination

Medicare Outpatient Observation Notice (MOON)

http://www.securityhealth.org:443/enproviders/provider-manual/medicare-advantage/care-management/medicare-outpatient-observation-notice

Notice of Medicare Noncoverage

http://www.securityhealth.org:443/enproviders/provider-manual/medicare-advantage/care-management/notice-of-medicare-noncoverage

Preventive Service Guidelines

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/care-management/preventive-service-guidelines

High end imaging and radiation services

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/utilization-management/high-end-imaging-and-radiation-services

Prior Authorization of Outpatient Physical Therapy, Occupational Therapy and Speech Therapy

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/utilization-management/outpatient-physical-speech-occupational-therapy

Prior Authorization for Nonaffiliated Providers

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/utilization-management/prior-authorization-for-nonaffiliated-providers

November 20, 2018

Contact information

http://www.securityhealth.org:443/enproviders/provider-manual/shared-content/contact-information/contact-information