Paper Claim Forms for Phase II
: |
back
to top 
|
| Q: |
Can I bill on paper
if I am a hospital billing Inpatient or clinic claims? |
| A: |
No, Hospital and Clinics
cannot bill on paper forms and will need to use an electronic
method for billing. |
| |
| Q: |
What happens if I continue
submitting on the old claim forms? |
| A: |
Phase I claim forms
will only be accepted until June 15, 2005. Any Phase I claim
form submitted after June 15 th will be rejected and returned
to the sender. |
| |
| Q: |
How do I obtain the
new claim forms? |
| A: |
New claims forms can be ordered by calling Provider Services
at 800-343-9000 and selecting the appropriate billing unit.
Please have your Category of Service available to ensure that
the correct form type is sent.
Note: Rate-based providers now use the UB-92
form which is not supplied by Computer Sciences Corporation.
These forms may be obtained from any source of standardized
forms. |
| |
|
|
|
