Billing Tips: Treatment Authorization Requests

Helpful Hints for TAR Completion

• Submitting TARs
• Include the updated/correct NPI provider number, provider name and address
• Include correct beneficiary information
• Include correct “From/To” dates
• Include correct service/procedure codes
• Include correct ICD code
• Submitting Attachments by Mail for Paper TARs
• Include a TAR number on attachments that can be traced back to the TAR
• Submitting Correct or Update
• Indicate type of correction/update needed
• Providers should clearly specify what change(s) are being requested
• Responding to Deferred TARs
• Include Adjudication Response (AR) to deferred TAR and attachments
• Include the additional information the deferral requested
• Include the TAR Control Number with the TAR and attachments
• Submitting a TAR appeal
• Faxed appeals are not permitted and will be rejected.
• Follow the submission guidelines in the TAR: Submitting Appeals section in the appropriate part 2 provider manual.
• Include the original TAR number when submitting an appeal.