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Revision January 2011 Chapter 6. Utilization Management 6.1 Introduction 4 6.2 Authorizations 4 6.2.1 Definition ................................................................................................................4
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Chapter 06 of the provider manual covers procedures for submitting claims.
All healthcare providers who are submitting claims must file provider manual chapter 06.
Providers must follow the guidelines provided in the manual and accurately input all required information when submitting claims.
The purpose of provider manual chapter 06 is to ensure accurate and timely processing of claims.
Providers must report all necessary details related to the services provided, including diagnosis codes, procedure codes, and patient information.
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