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Claims Requirements and Communications

Resources to Help You Correctly Submit Claims

Latest news on claims submissions

  • NDC code submission changes effective January 1, 2009
  • Paper referrals no longer accepted

Instructions and tips for submitting claims

  • PDF icon Claims Submission Toolkit for Proper Electronic and Paper Claims Submissions
  • PDF icon UB-04 Form and Instructions
  • PDF icon Medicare Payment Dispute Process for Non-Contracted Providers
  • PDF icon Medicare Provider Appeal Process for Non-Contracted Providers
  • PDF icon Payment Dispute Decision Request Form
  • PDF icon Waiver of Liability Statement

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