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New Prior Authorization Requirements and Forms effective January 1, 2010

BILLING ALERT - Elimination of Consultation Codes
Effective January 1, 2010 CMS will eliminate the use of all consultation CPT/HCPC codes. This includes inpatient codes (99251-99255) and office/outpatient codes (99241-99245) for various places of service, except for telehealth consultation G-codes. Instead of consultation codes, providers are instructed to bill initial hospital care (99221-99223), initial nursing facility care (99304-99306) or initial office visits (99201-99205), as applicable.

Drug Coverage Determination Request Form

The Provider must be a contracted provider with Physicians United Plan in order to use our website. Please contact your Provider Representative in order to obtain your User ID and password.

 

Claims Status, Eligibility Check and Referral Request

This feature is a simple and efficient process to determine the claims submitted by your office with various search parameters and gives information about member eligibility. It also provides facility to submit a referral request for patient hospitalization or specialist service.

 
    Phone: 1-866-571-0693
    TTY/TDD: 1-866-671-0693
    H5696_PUPWEB1 CMS Approval 01/2010
    You are Visitor Number: 99397
Physicians United Plan is an organization with a Medicare contract. This contract is renewed annually, and coverage beyond the end of the contract year is not guaranteed.

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Page Last Updated: 2/18/2010 2:52:55 PM