Vaya Health Claim Adjudication Code

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Claims Adjudication Codes and Actions - Vaya Health

(8 days ago) WEBVaya Health Claims Adjudication Reason List with AlphaMCS and HIPAA Reason Codes Finance Rev. 11.04.2016 1 45 Adjusted - Above contract rate 2 92 Approved 15 18 Duplicate Claim 16 11 DX code is invalid for service/insurance combination 18 31 …

https://providers.vayahealth.com/wp-content/uploads/2019/03/Claims-Adjudication-Codes-and-Actions-110416.pdf

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Authorization & Billing Vaya Providers - Vaya Health

(5 days ago) WEBFor information or technical assistance, call Vaya Health’s Provider Support Service Line at 1-866-990-9712 (Monday-Saturday, 7 a.m.- 6 p.m.). Vaya Health’s commitment to our …

https://providers.vayahealth.com/authorization-billing/

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Claim Adjustment Reason Codes X12

(1 days ago) WEBAdjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created. Start: …

https://x12.org/codes/claim-adjustment-reason-codes

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Authorization Guidelines Vaya Providers - Vaya Health

(6 days ago) WEBFor information or technical assistance, call Vaya Health’s Provider Support Service Line at 1-866-990-9712 (Monday-Saturday, 7 a.m.- 6 p.m.). Coupled with applicable federal and …

https://providers.vayahealth.com/authorization-billing/authorization-information/authorization-guidelines/

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Home Page Vaya Health

(7 days ago) WEBVaya Health manages services for people with behavioral health (mental health and substance use), I/DD, and TBI in 32 counties across North Carolina. Beginning in 2024, Vaya Health also will manage physical …

https://www.vayahealth.com/

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CLAIMS GUIDE - Partners Health Management

(1 days ago) WEBSystem-matched and manually-matched claims continue through the claims adjudication process to the second level of data verification. All codes on the claims are verified to …

https://www.providers.partnersbhm.org/wp-content/uploads/2016/07/AlphaMCS-Denials-Guide.pdf

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Grievances and Complaints Vaya Health

(7 days ago) WEBHow do I file a grievance or complaint? BY PHONE: Member Services: 1-800-849-6127 Grievance Resolution and Incident Team: 828-225-2785, ext. 1600 24/7 Compliance …

https://www.vayahealth.com/nc-medicaid-direct/grievances/

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Medicaid Services Vaya Health

(4 days ago) WEBAvailable 24 hours a day, 7 days a week, to all residents in Vaya’s region. Call for help with a mental health or substance use crisis. In case of a medical emergency or life …

https://www.vayahealth.com/vaya-total-care/nc-medicaid-services/

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State-Funded Services Vaya Health

(5 days ago) WEBWelcome to Vaya Health! Use the information below to get started as a recipient of Vaya Health and reach out to our Member and Recipient Services line at 1-800-962-9003 with …

https://www.vayahealth.com/vaya-total-care/state-funded-services/

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Overview - vayahealth.com

(4 days ago) WEB• If the code is unsuccessful, you can request a new code. • Once the code is verified, you will be able to log in. Please note: Common reasons for an unsuccessful code include …

https://www.vayahealth.com/wp-content/uploads/2023/08/Help-Guide-Member-Recipient-Portal-2.pdf

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Healthcare Claims Adjudication: Insightful Guide

(4 days ago) WEBClaim adjudication is the essential process through which insurance payers review and determine the amount owed to healthcare providers for the services they have rendered. …

https://www.medicalbillgurus.com/healthcare-claims-adjudication/

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Claims and payments Delta Dental

(5 days ago) WEBWhen Delta Dental of California is the secondary carrier and is subject to the provisions of the California Health and Safety Code §1374.19, we pay the lesser of: (1) the amount …

https://www1.deltadentalins.com/dentists/resources/claims-and-payments.html

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Vaya Health hiring Claims Specialist in United States LinkedIn

(8 days ago) WEBVaya Health operates on US Eastern Standard time within the hours of 8:30am-5:00pm EST. We welcome applications from the following states: NC, SC, GA, TN, VA, MD, and …

https://www.linkedin.com/jobs/view/claims-specialist-at-vaya-health-3915316432

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How do I submit a claim? – FAQs PivotHealth.com

(6 days ago) WEBHow do I submit a claim? Your provider can submit a claim to the address on the back of your ID card. Claims can be sent to: Insurance Benefit Administrators c/o …

https://faq.pivothealth.com/knowledge-base/how-do-i-submit-a-claim

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For Providers WeShare® UHSM PPO Network Support

(8 days ago) WEBPlease note that WeShare® by UHSM has a standard turnaround time of five (5) business days on all prior authorization requests. If you require any help with the form, need …

https://www.weshare.org/for-providers/

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Claims Specialist (Remote) Job in Asheville, NC - Vaya Health

(3 days ago) WEBJob posted 17 days ago - Vaya Health is hiring now for a Full-Time Claims Specialist (Remote) in Asheville, NC. Apply today at CareerBuilder! Claims Adjudication: This …

https://www.careerbuilder.com/job/J3R10Y686H9KJ5C3ZY4

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