Billing Beat

Include Cover Sheet When Submitting Attachments and Additional Information for Prior Approval Request

November 22, 2013

When mailing or faxing in attachments and supporting documentation for a prior approval request, it is important that you include the provided cover sheet so that the information can be attached to the prior approval correctly. When you create a prior approval request in the secure provider portal, at the end it will ask if you want to upload, mail or fax information. When you select that you are going to mail or fax in information, it will give you a link to print a cover sheet. It is CRITICAL that you print this cover sheet and mail or fax it with your additional documentation. This is how CSC knows which prior approval request to associate with the additional documentation. Attachments submitted without the cover sheet can delay processing of the prior approval request. It is also important that you include the cover sheet when you submit additional information required for pended prior approval requests. The cover sheet is provided with the request for additional information which is mailed to providers. Failure to do so may result in the creation of a duplicate prior approval request, which can delay processing of the original request.

Source: NCTracks Communications and Updates – November 4

Medicaid

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