Section 1869(b)(1)(E) of the Social Security Act (the Act), as amended by Section 940 of the Medicare Prescription Drug...
Access tools and forms related to the prior authorization program, CERT, and provider audit.
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
PC-ACE version 6.8 is now available. Follow these instructions to complete the required quarterly upgrades or the full...
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.
An appeal is a new and independent review of an initial determination of a claim.
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An updated Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) “Codes.ini” file is now available for...
The following information outlines procedures related to getting started with EDI along with additional electronic features...
Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark...
