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The Executive Office of, Health and Human Services , State of Rhode Island
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Prior Authorization

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Provider Electronic Solutions (PES) Software

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Electronic Data Interchange (EDI)

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RI Medicaid Program HIPAA 5010

… compliant with CMS requirements for the 5010 & NCPDP D.O standards. As of February 18th, 2012, we no longer accept … 5010 format for the following transaction sets: 83...

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Trading Partner Enrollment

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Recipient Eligibility Verification

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Third Party Liability

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Coverage Codes

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ICD-10

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Provider Directories

… Provider Directories … List of Provider Reps Find your … … Provider Representatives can answer questions from providers ...

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Medicaid Recipients: What You need to know as the COVID-19 Public Health Emergency comes to an end

Executive Office of Health and Human Services

3 West Road
Cranston, RI 02920

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