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CITY OF CORPUS CHRISTI PURCHASING DIVISIONREQUEST FOR PROPOSAL (RFP)Medical and Pharmacy Claims Audit RFP No. 1551 Release Date: February 19, 2018Table of ContentsSection 1 Notice of Request for Proposals

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How to fill out medical and pharmacy claims

01

Obtain the necessary claim form from the designated provider or insurance company.

02

Fill in all personal information accurately, including name, address, date of birth, and insurance policy number.

03

Provide details of the medical or pharmacy services received, including dates, procedures, medications, and costs.

04

Attach any supporting documentation, such as receipts or invoices, to the claim form.

05

Review the completed form for accuracy and completeness before submitting it to the insurance company for processing.

Who needs medical and pharmacy claims?

01

Individuals who have received medical or pharmacy services and wish to seek reimbursement from their insurance company.

02

Healthcare providers who need to submit claims to insurance companies for reimbursement of services rendered.

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What is medical and pharmacy claims?

Medical and pharmacy claims are requests for payment sent by healthcare providers or pharmacies to insurance companies or other payers for services or medication provided to patients.

Who is required to file medical and pharmacy claims?

Healthcare providers such as doctors, hospitals, and pharmacies are required to file medical and pharmacy claims in order to receive payment for their services or medication.

How to fill out medical and pharmacy claims?

Medical and pharmacy claims can be filled out electronically or on paper forms provided by insurance companies or payers. Providers must include patient information, diagnosis codes, procedure codes, and other relevant details.

What is the purpose of medical and pharmacy claims?

The purpose of medical and pharmacy claims is to request reimbursement for medical services provided to patients. It also helps in tracking healthcare utilization and managing costs.

What information must be reported on medical and pharmacy claims?

Medical and pharmacy claims must include patient information, provider information, diagnosis codes, procedure codes, dates of service, and costs incurred for services or medication provided.

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