This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

This policy describes the National Drug Code information that is required on professional drug claims and hospital outpatient facility claims that are reported for reimbursement.

The Arizona Health Care Cost Containment System (AHCCCS) National Drug Code (NDC) billing guidelines apply to claims with procedure codes for physician-administered drugs in outpatient clinical settings.

Provides detailed information on submitting NDC claims

Provides detailed information on submitting standard claims with NDC Information for professional and hospital outpatient claims for UnitedHealthcare Commercial Plans & UnitedHealthcare Medicare Advantage plans.

This policy describes the information that is required on certain claims that are reported for laboratory services under the Clinical Laboratory Improvement Amendment (CLIA) 1988 statute and regulations. All services described in this policy may ...

A list of all Smart Edits messages and descriptions that are live or are about to go live as returned on the 277CA Clearinghouse Rejection Report.

This up-to-date reference PDF (manual/guide) allows you and your staf to fnd importantinformation such as how to process a claim and priorauthorization.

Serving the following Service Delivery Areas: Jefferson, Harris, Hidalgo, Nueces and Travis as well as Medicaid Rural Service Area (MRSA) Central and MRSA Northeast.

Effective Date: 10.01.2019 – This policy addresses the maximum dosage per administration for medications administered by a medical professional. Applicable Procedure Codes: J0222, J0717, J0897, J1300, J1303, J1745, J2357, J2505, J3357, J3358, ...

Effective Date: 10.01.2019 – This policy addresses the maximum dosage per administration for medications administered by a medical professional. Applicable Procedure Codes: J0222, J0717, J0897, J1300, J1303, J1745, J2357, J2505, J3357, J3358, ...

Effective Date: 11.01.2019 – This policy addresses the maximum dosage per administration for medications administered by a medical professional. Applicable Procedure Codes: J0222, J0717, J0897, J1300, J1303, J1745, J2357, J2505, J3357, J3358, ...

UnitedHealthcare Community Plan’s pharmacy benefits manager, OptumRx, offers the vaccines listed in the following chart for UnitedHealthcare Community Plan members ages 21 and older in STAR and STAR+PLUS plans.

This up-to-date reference PDF manualallows you and your staff to find important informationsuch as how to process a claim and prior authorization.

Effective Date: 01.01.2020 – This policy addresses the use of Soliris® (eculizumab) and Ultomiris™ (ravulizumab-cwvz). Applicable Procedure Codes: J1300, J1303.