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TENURE PROVIDER BILLING MANUAL FOR PROFESSIONAL MEDICARE CROSSOVER CLAIMSContract Reference A.3.18.5.42 Version 4.0 August 30, 2021, Gain well Technologies 310 Great Circle Road Nashville, TN 37228TennCare
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How to fill out tenncare provider billing manual

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How to fill out tenncare provider billing manual

01
Obtain a copy of the TennCare provider billing manual.
02
Review the manual to understand the requirements and guidelines for billing TennCare.
03
Complete all required provider demographic information accurately.
04
Fill out the claim form with the patient's information, including their TennCare ID number.
05
Include all applicable CPT or HCPCS codes for the services provided.
06
Attach any required documentation, such as medical records or referral forms.
07
Double-check the completed claim form for accuracy and completeness.
08
Submit the claim form to TennCare following the specified submission process.
09
Follow up on the claim to ensure timely payment and address any denials or rejections.
10
Keep a record of all submitted claims for reference and auditing purposes.

Who needs tenncare provider billing manual?

01
Healthcare providers who provide services to beneficiaries covered by TennCare.
02
Billing staff or administrative personnel responsible for submitting claims to TennCare on behalf of providers.
03
Healthcare facilities that need to bill TennCare for services rendered to eligible patients.
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The tenncare provider billing manual is a guide that outlines the billing procedures and requirements for healthcare providers submitting claims to tenncare for reimbursement.
All healthcare providers who provide services to tenncare beneficiaries are required to file the tenncare provider billing manual.
The tenncare provider billing manual can be filled out electronically or manually using the guidelines provided in the manual.
The purpose of the tenncare provider billing manual is to ensure accurate and timely submission of claims for reimbursement.
The tenncare provider billing manual must include patient information, service provided, diagnosis codes, and any other relevant documentation required for reimbursement.
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