Billing & reimbursement

Claims Submission

• Clean Claims
• Electronic Claims
• Paper Claims

Claims Submission: Resources

• Code Auditing Reference Tool (CMS-1500 Claims) on HPHConnect
• Claims Submission Guidelines
• Completing a Paper ADA J400 Form
• Completing a Paper CMS-1500 (02-12) Form
• Completing a Paper UB-04 Form

Resubmitting a Claim

• Replacement Claim Billing
• Rejected or Returned Claims

Third Party Liability

• Coordination of Benefits (COB) Claims
• Motor Vehicle Accident (MVA) Claims
• Other Injury (Liability) Accident (OI) Claims
• Workers Compensation (WC) Claims

Account Reconciliation

• Account Reconciliation
• Audit Policy
• Negative Balance
• Retractions, Returned Checks, and Refund Checks