| Chapter |
Chapter Information |
File Size |
File Type |
Archive Date |
| |
| |
Cover Page (Rev. 2007-01, January 2007) |
42 KB |
|
03/28/08 |
| |
Table of Contents (Rev. 2007-10, October 2007) |
85 KB |
|
03/28/08 |
| Chapter 1 |
Contact Information (Rev. 2007-10, October 2007) |
94 KB |
|
03/28/08 |
| Chapter 2 |
Supplier Enrollment (Rev. 2007-10, October 2007) |
90 KB |
|
03/28/08 |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2007-10, October 2007) |
201 KB |
|
03/28/08 |
| Chapter 4 |
Electronic Data Interchange (Rev. 2007-10, October 2007) |
103 KB |
|
03/28/08 |
| Chapter 5 |
Medicare Secondary Payer (Rev. 2007-01, January 2007) |
132 KB |
|
03/28/08 |
| Chapter 6 |
Pricing (Rev. 2007-01, January 2007) |
120 KB |
|
03/28/08 |
| Chapter 7 |
System Outputs (Rev. 2007-10, October 2007) |
487 KB |
|
03/28/08 |
| Chapter 8 |
Reopenings and Appeals (Rev. 2007-10, October 2007) |
105 KB |
|
03/28/08 |
| Chapter 9 |
Overpayments and Offsets (Rev. 2007-10, October 2007) |
82 KB |
|
03/28/08 |
| Chapter 10 |
Durable Medical Equipment (Rev. 2007-10, October 2007) |
184 KB |
|
03/28/08 |
| Chapter 11 |
Program Safeguard Contractor (Rev. 2007-10, October 2007) |
126 KB |
|
03/28/08 |
| |
| |
Table of Contents (Rev. 2007-01, January 2007) |
84 KB |
|
10/19/07 |
| Chapter 1 |
Contact Information (Rev. 2007-01, January 2007) |
98 KB |
|
10/19/07 |
| Chapter 2 |
Supplier Enrollment (Rev. 2007-01, January 2007) |
90 KB |
|
10/19/07 |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2007-07, July 2007) |
257 KB |
|
10/19/07 |
| Chapter 4 |
Electronic Data Interchange (Rev. 2007-01, January 2007) |
105 KB |
|
10/19/07 |
| Chapter 7 |
System Outputs (Rev. 2007-01, January 2007) |
505 KB |
|
10/19/07 |
| Chapter 8 |
Appeals (Rev. 2007-01, January 2007) |
112 KB |
|
10/19/07 |
| Chapter 9 |
Durable Medical Equipment (Rev. 2007-01, January 2007) |
193 KB |
|
10/19/07 |
| Chapter 10 |
Program Safeguard Contractor (Rev. 2007-01, January 2007) |
126 KB |
|
10/19/07 |
| |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2007-05, May 2007) |
201 KB |
|
07/13/07 |
| |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2007-02, February 2007) |
203 KB |
|
05/10/07 |
| |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2007-01, January 2007) |
207 KB |
|
02/22/07 |
| |
| |
Table of Contents (Rev. 2005-05, May 2006) |
86 KB |
|
01/31/07 |
| Chapter 1 |
Contact Information (Rev. 2006-11, November 2006) |
35 KB |
|
01/31/07 |
| Chapter 2 |
Supplier Enrollment (Rev. 2005-05, May 2006) |
69 KB |
|
01/31/07 |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2005-04, April 2006) |
202 KB |
|
01/31/07 |
| Chapter 4 |
Electronic Data Interchange (Rev. 2005-04, April 2006) |
100 KB |
|
01/31/07 |
| Chapter 5 |
Medicare Secodary Payer (Rev. 2005-05, May 2006) |
106 KB |
|
01/31/07 |
| Chapter 6 |
Pricing (Rev. 2005-05, May 2006) |
104 KB |
|
01/31/07 |
| Chapter 7 |
System Outputs (Rev. 2005-05, May 2006) |
1,190 KB |
|
01/31/07 |
| Chapter 8 |
Appeals (Rev. 2005-02, December 2005) |
32 KB |
|
01/31/07 |
| Chapter 9 |
Durable Medical Equipment (Rev. 2005-04, April 2006) |
182 KB |
|
01/31/07 |
| Chapter 10 |
Program Safeguard Contractor (Rev. 2005-03, March 2006) |
44 KB |
|
01/31/07 |
| |
| Chapter 1 |
Contact Information (Rev. 2005-03, March 2006) |
25 KB |
|
11/22/06 |
| |
| Table of Contents |
Table of Contents (Rev. 2005-05, April 2006) |
86 KB |
|
5/15/06 |
| Chapter 2 |
Supplier Enrollment (2003 Edition, September) |
18 KB |
|
5/15/06 |
| Chapter 5 |
Medicare Secondary Payer (Rev. 2003-07, Octomber 2004) |
36 KB |
|
5/15/06 |
| Chapter 6 |
Pricing (Rev. 2003-10, June 2005) |
32 KB |
|
5/15/06 |
| Chapter 7 |
System Outputs (2003 Edition, September) |
3,231 KB |
|
5/15/06 |
| |
| Table of Contents |
Table of Contents (Rev. 2005-03, March 2006) |
25 KB |
|
4/27/06 |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2003-08, December 2004) |
112 KB |
|
4/27/06 |
| Chapter 4 |
Electronic Data Interchange (Rev. 2003-05, July 2004) |
31 KB |
|
4/27/06 |
| Chapter 9 |
Durable Medical Equipment (Rev. 2003-09, March 2005) |
97 KB |
|
4/27/06 |
| |
| Table of Contents |
Table of Contents (Rev. 2005-02, December 2005) |
25 KB |
|
3/28/06 |
| Chapter 1 |
Contact Information (Rev. 2005-01, October 2005) |
27 KB |
|
3/28/06 |
| Chapter 10 |
Program Safeguard Contractor (Rev. 2003-04, June 2004) |
41 KB |
|
3/28/06 |
| |
| Table of Contents |
Table of Contents (Rev. 2003-10, June 2005) |
19 KB |
|
12/13/05 |
| Chapter 8 |
Appeals (Rev. 2003-07, October 2004) |
28 KB |
|
12/13/05 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-09, March 2005) |
20 KB |
|
7/18/05 |
| |
| Table of Contents |
Table of Contents (Rev. 2003-07, October 2004) |
19 KB |
|
6/17/05 |
| Chapter 6 |
Pricing (Rev. 2003-07, October 2004) |
30 KB |
|
6/17/05 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-07, October 2004) |
20 KB |
|
3/31/05 |
| Chapter 9 |
Durable Medical Equipment (Rev. 2003-05, July 2004) |
96 KB |
|
3/31/05 |
| |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2003-04, June 2004) |
108 KB |
|
12/27/04 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-06, September 2004) |
20 KB |
|
10/20/04 |
| Chapter 5 |
Medicare Secodary Payer (2003 Edition, September) |
36 KB |
|
10/20/04 |
| Chapter 6 |
Pricing (2003 Edition, September) |
27 KB |
|
10/20/04 |
| Chapter 8 |
Appeals (2003 Edition, September) |
28 KB |
|
10/20/04 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-04, June 2004) |
20 KB |
|
9/30/04 |
| |
| Chapter 4 |
Electronic Data Interchange (Rev. 2003-02, December 2003) |
28 KB |
|
7/30/04 |
| Chapter 9 |
Durable Medical Equipment (Rev. 2003-03, March 2004) |
93 KB |
|
7/30/04 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-02, December 2003) |
20 KB |
|
6/30/04 |
| Chapter 3 |
Health Insurance Claim Form (Rev. 2003-02, December 2003) |
148 KB |
|
6/30/04 |
| Chapter 10 |
Program Safeguard Contractor (Rev. 2003-02, December 2003) |
37 KB |
|
6/30/04 |
| |
| Chapter 9 |
Durable Medical Equipment (Rev. 2003-02, December 2003) |
91 KB |
|
3/15/04 |
| |
| Chapter 1 |
Contact Information (Rev. 2003-04, October 2003) |
21 KB |
|
12/31/03 |
| Chapter 3 |
Health Insurance Claim Form (2003 Edition, September) |
148 KB |
|
12/31/03 |
| Chapter 4 |
Electronic Data Interchange (2003 Edition, September) |
28 KB |
|
12/31/03 |
| Chapter 9 |
Durable Medical Equipment (2003 Edition, September) |
92 KB |
|
12/31/03 |
| Chapter 10 |
Program Safeguard Contractor (2003 Edition, September) |
37 KB |
|
12/31/03 |
| |
| Chapter 1 |
Contact Information (2003 Edition, September) |
21 KB |
|
10/27/03 |