Supporting Documentation
When Regence requests supporting documentation, it
is either indicated by a message
code on the payment voucher or by letter. The Regence Clinical
Edits by Code list contains the supporting
documentation requirements for most services and supplies,
listed by Current Procedural Terminology (CPT®)
and Healthcare Common Procedure Coding System (HCPCS)
code.
To submit documentation for electronic or paper claims,
please use the Supporting
Documentation Cover Sheet (PDF). This is a
standard cover sheet for submitting information
in support of a claim. Using this cover sheet will
ensure that documentation is “attached” to
the right claim(s) and will expedite processing. Please
complete all fields on the form and:
- Include the claim number.
- Include the office contact information.
- Complete all subscriber and patient information.
- Do not use for corrected billings or billing disputes.
- Indicate if claim was submitted electronically
if applicable.
- In the comment section indicate what type of documentation
is attached.
- Mail the completed form with the additional documentation
to the address indicated in the letter. If not indicated, mail
to the correspondence address.
Note: To print a PDF document, you need Adobe® Reader®. Download it now for free.
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