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To:
ZMD
From:
WellCare
Subject:
Paper Claim Format Submission Change
Date:
Jul 23 2010
Expires:
Jul 23 2012

Dear Provider,

 

Effective October 28, 2010, 'Ohana Health Plan will no longer accept handwritten or replicated claim form submissions. While paper claims will continue to be accepted, going forward they must be "red," meaning they must be submitted on original CMS-1500 or UB-04 forms.

 

Please see the attached notice for additional information.

 

Thank you,

'Ohana Health Plan



Attachment : click to download

 

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