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CBS Disallowed Claims ADP Drug Medical /ANNA Adjustment Process Flowchart State Audit or Chart Review by CBS Program Compliance & Support Unit (PCS), QM Contractor's own error discovered in SA billed
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CBHS disallowed claims ADP is a process where claims for certain expenses are reviewed and denied if they do not meet the criteria set by CBHS.
CBHS members who have submitted a claim that is deemed to be disallowed are required to file the CBHS disallowed claims ADP.
To fill out the CBHS disallowed claims ADP, you need to provide detailed information about the denied claim, including the claim number, date of service, and the reason for denial.
The purpose of CBHS disallowed claims ADP is to ensure that claims are appropriately reviewed and denied if they do not meet the requirements set by CBHS.
On the CBHS disallowed claims ADP, you must report the claim number, date of service, reason for denial, and any supporting documentation for the denial.
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