Medical review

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Access tools and forms related to the prior authorization program, CERT, and provider audit.

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department services.

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department services.

This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.

Access tools and forms related to the prior authorization program, CERT, and provider audit.

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for emergency ambulance transports.

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for emergency ambulance transports.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for critical care services.