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Department of Human Services
Department of Human Services
  • Menu
Services
  • Services
  • Assistance
  • Children
  • Disabilities & Aging
  • Mental Health in PA
  • Mass Care and Emergency Assist
  • Other Services
Find a Document
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About
  • About
  • DHS Online Services
  • DHS Leadership
  • DHS Facilities
  • Data Dashboards
  • Priorities
  • Fraud and Abuse
  • ECM Enterprise Case Management
Contact Us
  • Contact Us
  • Helpful Phone Numbers
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Department of Human Services > For Providers > Providers > Billing Information
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​Billing Information

Beginning July 2019, claims may deny due to common billing issues. Please read Quick Tip 221 for additional information.

UB-04 and NEW CMS 1500 Billing Medicaid Secondary to a Medicare HMO/Advantage Plan: 

  • ASC-SPU Medicare HMO Billing Instructions
  • Inpatient Medicare HMO Billing Instructions
  • Outpatient Medicare HMO Billing Instructions
  • Professional Medicare HMO Billing Instructions
  • CMS-1500 Commercial Insurance Attachment (MA - 538)
  • CMS-1500 Medicare Attachment (MA - 539)
  • CMS-1500 - Reference Guide for PROMISe
  • Copayment Desk Reference Rev 6/17

Electronic Billing Information

  • Important Telephone Numbers and Addresses
  • Eligibility Verification Information
  • Place of Service Crosswalk
  • PROMISe Information
  • Provider Handbooks and Billing Guides

 Content Editor

Additional 
Resources​

  • • Developmental Programs Provider Billing and Payment

  • • Electronic Visit Verification (EVV)

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Josh Shapiro, Governor Valerie A. Arkoosh, Secretary
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Agency Image
Josh Shapiro, Governor Valerie A. Arkoosh, Secretary
Contact Us
  • POLICIES
    • Your Privacy Rights (HIPAA)
    • Right to Know Law
    • Language Services
    • Disclaimer
    • PA 1115 Waiver Post Award Forum
  • GET HELP
    • Medicaid
    • LIHEAP
    • SNAP
    • CHIP
    • Tax Information
    • Substance Use
  • RELATED WEBSITES
    • Keep Kids Safe
    • COMPASS
    • Ending Hunger in PA
    • Mental Health in PA
    • Adopt PA Kids - 1-800-585-7926
  • DHS PRIORITIES
    • Top Priorities
    • Extending Medicaid Post-Partum Benefits
    • Enterprise Case Management (ECM)
  • Social Media
    • Facebook DHS
    • Twitter DHS
    • YouTube DHS
    • Instagram DHS
    • Instagram Sec. Arkoosh
    • Twitter Sec. Arkoosh
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