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Reporting of services should be on the for every member, for every pay a visit to basis, rather than a monthly summary. An accounting of all services rendered by date and member need to be submitted to Health Internet or Molina Healthcare, based on the member’s health strategy affiliation. The come upon data needs to be submitted through electronic transmission during the HMO’s Western Region HMO/Information Services Specifications (HMOIS) format, UB-92 or the ANSI 837 5010 X12 format. Come upon information will have to include the identical data factors as would be required with a rate-for-service (FFS) claim form.
I've elected to add a group of individual data files by identifying and attaching as much as 10 unique data files. I understand the information might be named dependant on the information I enter for each file and which the file name will identify the member which the treatment coordination doc(s) is/are linked to.
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