Resource Links
Related Memoranda
General Information Booklet
|
This booklet
will no longer be valid as of January 10, 2010. For an
advance look at the new ProviderOne Billing and Resource
Guide, visit
http://hrsa.dshs.wa.gov/download/Billing%20Instructions%20Web%20Pages/ProviderOne_Billing_and_Resource_Guide.html |
Current Booklet
General
Information Booklet
Use for dates of service on and after July 1, 2009.
Archived Booklet
General Information Booklet
As of June 30, 2009
General Information Booklet
As of April 30, 2009
General
Information Booklet 2005
To view and download the following
DSHS forms
which are discussed in this General Information Booklet,
click on the following link:
http://www1.dshs.wa.gov/msa/forms/eforms.html
- Expedited Prior Authorization Forms
- Adjustment Request Form [DSHS 13-715]
- Electronic Funds Transfer (EFT) [DSHS 18-633]
- Corrected Claim [DSHS 13-741]
Third Party
Insurance Carrier Codes
Alien Emergency Medical (AEM) Program
For comments or questions regarding health and recovery services, email contact us.
Page modified: November 2009
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