J. Compliance

GUIDANCE DOCUMENTS FORMS AND TEMPLATES
Carrier Codes (June 4, 2019 | v2.0) REG001-J Network Provider Terminations Report (Jan. 30, 2019 | v1.0)
Third Party Liability Coast Avoidance Data Format (Aug. 9, 2019 | v2.0) REG002-J Dual-Eligibility Report (Jan. 30, 2019 | v1.0)
Third Party Liability Cost Avoidance Program Description and Measures (Feb. 4, 2019 | v1.0) REG003-J Third Party Liability Report (Jan. 30, 2019 | v1.0)
Third Party Liability Carrier File Layout (May 29, 2019 | v1.0) REG004-J Fraud, Waste and Abuse Report: Members (Jan. 30, 2019 | v1.0)
Trauma Diagnosis Codes (June 4, 2019 | v1.0) REG004-J Fraud, Waste and Abuse Report: Providers (Jan. 30, 2019 | v1.0)
DMV Crash Data Report (April 30, 2019 | v1.0) REG005-J Pharmacy Fraud, Waste and Abuse: Prescribers, Pharmacies, Members (Jan. 30, 2019 | v1.0)
Reporting Other Found Insurance (Aug. 9, 2019 | v1.0)

REG006-J Fraud Prevention Report (Jan. 30, 2019 | v1.0)

  REG007-J Overpayment Recoveries (Jan. 30, 2019 | v1.0)
  REG008-J Program Integrity Termination Report (Jan. 30, 2019 | v1.0)
  REG009-J Other Provider and Member Complaints Report: Member Complaints (Jan. 30, 2019 | v1.0)
  REG009-J Other Provide and Member Complaints Report: Provider Complaints (Jan. 30, 2019 | v1.0)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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