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Department of Human Services
Department of Human Services
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  • Services
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  • Priorities
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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
  • Provider Internet User Manual
  • Provider Type and Specialty Codes and Descriptions

Additional 
Resources​

  • • Billing for Tobacco Cessation Services

  • • Developmental Programs Provider Billing and Payment

  • • Electronic Visit Verification (EVV)

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Agency Image
Tom Wolf, Governor Meg Snead, Acting Secretary
Contact Us
  • POLICIES
    • Your Privacy Rights (HIPAA)
    • Right to Know Law
    • Language Services
    • Disclaimer
    • PA 1115 Demonstration Extension Application
  • 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
  • DHS PRIORITIES
    • Top Priorities
    • Extending Medicaid Post-Partum Benefits
    • Enterprise Case Management (ECM)
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