| Executive Office of Health and Human Services

Dental Services For Children And Young Adults

… Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Pediatric Oral Health Schedule RIte Smiles RIte … Early Periodic Screening, Diagnosis, and Treatment (EP...

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Customer Service

… Portal . Once your TP ID is obtained, registering that number in the Healthcare Portal will give access to the … readily available: National Provider Identifier (...

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Claims Processing

… the reimbursement amount for a CPT or HCPCS code, go to Fee Schedules . Electronic Billing for Medicare and Senior …

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EOB Listing

… Limitado A Uno Por Cada Nacimiento 865 Una Sola Visita/Epsdt Permitida Al Mismo Beneficiario Por El Mismo Proveedor … Limitado A Uno Por Cada Nacimiento 865 Una Sola Visit...

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Prior Authorization

… Prior Authorization Instructions Complete the Prior Authorization Form (below) and fax or mail it to …

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Provider Electronic Solutions (PES) Software

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Electronic Data Interchange (EDI)

… Electronic Data Interchange (EDI) All documents are in pdf format RI Medicaid … following fields are required: Loop 2320 Other Subscriber Informat...

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Service Requiring Adherence To Federal Guidelines

… “I, ( Physician’s Name) certify that on behalf of my professional judgment, the procedure performed was … Signature “I, (Physician’s Name) certify that on behalf of
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Podiatry Services

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Recovery Navigation Program

… Recovery Navigation Program Recovery Navigation Program Certification Standards Recovery Navigation Program Billing Manual … Recovery
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