Community Health Plan of Washington Medicare Advantage Plans Community Health Plan of Washington Medicare Advantage Plans

Posts Tagged ‘claims’

Billing and Rendering Taxonomy Requirements

Thursday, January 14th, 2021

CHPW’s clearinghouse has been rejecting any claims submitted without valid billing and/or rendering taxonomy codes and those claims are not submitted to CHPW.

Valid NPI for Medicare Advantage Claims

Monday, July 22nd, 2019

CHPW willl follow a new process to submit Medicare claims to CMS.

Billing for Miscellaneous Parts

Wednesday, April 24th, 2019

For specific DME, CHPW must verify the actual manufacturer’s suggested retail price (MSRP) in order to provide pricing.

Mandatory Modifiers on Claims

Wednesday, April 24th, 2019

CHPW will have a new claim edit in place. Medicare claims submitted without the correct modifiers will be rejected and will have to be resubmitted.

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