SPOT backup approver instructions
Backup approvers may complete these instructions AFTER their organization's designated approver has received an approval...
SPOT approver instructions
Approvers may follow these instructions for SPOT access AFTER they have received an approval communication from the SPOT Help...
Instructions for completing the EDI SPOT enrollment form for third-party provider organizations
These instructions will assist you in completing the EDI SPOT enrollment form as a third-party organization.
Instructions for completing the EDI SPOT enrollment form for provider organizations
These instructions will assist you in completing the EDI SPOT enrollment form as a provider organization.
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)
View targeted probe and educate (TPE) round results for diagnostic radiology.
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).
Telephone reopening requests via the IVR
A self-service feature is available via the Part B interactive voice response (IVR) that allows providers / customers to request...
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Instructions for completing the EDI enrollment form for third-party provider organizations
Software vendors, billing services, and clearinghouses should complete the Electronic Data Interchange (EDI) Third Party...