Get the free TennCare D.0 Payer Specification - Magellan Health Services

Tenner D.0 Payer Specification March 25, 2013 **Start of Request Claim Billing/Claim Re-bill (B1/B3) Payer Sheet Template** General Information Payer Name: Tenner Date: Date of Publication of this

How to fill out tenncare d0 payer specification

How to fill out TennCare D0 Payer Specification:

1. Begin by gathering all the necessary information. You will need details about the patient, such as their name, date of birth, and Social Security number. You should also have the provider's information, such as their name, National Provider Identifier (NPI), and address.
2. Start filling out the payer information section. This includes entering the TennCare Payer ID, which can be obtained from the TennCare website or by contacting their office directly. Ensure that you provide accurate and up-to-date payer information in this section.
3. Move on to the patient information section. Here, you will enter the patient's identifying information, such as their full name and date of birth. It is crucial to provide accurate details to avoid any discrepancies or delays in processing.
4. Fill in the provider information section. Enter the complete name and address of the healthcare provider or facility. Additionally, include the NPI, which is a unique 10-digit identification number assigned to healthcare providers by the Centers for Medicare and Medicaid Services.
5. Continue by providing the specific service details. This includes the procedure codes, diagnosis codes, and any modifiers that are applicable. It is essential to accurately document the services rendered to ensure proper reimbursement.
6. If necessary, include any additional information or supporting documentation requested by TennCare. This could include medical records, prior authorization forms, or any other relevant paperwork. Make sure to attach these documents securely to prevent loss during the submission process.

Who needs TennCare D0 Payer Specification?

1. Healthcare providers, including doctors, hospitals, clinics, and other healthcare facilities that operate in the state of Tennessee, will need the TennCare D0 Payer Specification.
2. Insurance companies and payers who have contracted with TennCare will also require the TennCare D0 Payer Specification to accurately process and reimburse claims from healthcare providers.
3. Patients who are covered under TennCare, Tennessee's Medicaid program, may indirectly benefit from the correct completion of the TennCare D0 Payer Specification by ensuring that their healthcare providers receive timely and accurate reimbursement for the services they receive.

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