Page 56 - PHP CA Resource Guide
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Who can submit a Claim?
What is a Claim?
What is a Co-payment/Coinsurance/Deductible?
How do we receive Claims?
Where are Claims stored?
How do I search for a Claim?
What information should I look for when reviewing a Claim? Additional Questions Answered
Claims can be submitted by providers or members for medically necessary goods or services that have been rendered to the member.
Provider claims may be submitted via paper or electronically through a
clearinghouse.
Member claims forms must be mailed back to Prominence with an itemized bill and proof of payment.
Member
CMS-1500 (Professional) UB-04 (Institutional) ADA 2012 (Dental)
SMROF SMIALC DETPECCA
?MIALC A TIMBUS NAC OHW
REVOC LL'EW TAHW :SMIALC
SMIALC
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Care Advocate Resource Guide 2021 Q1-Q2
