Part 2 - Chiropractic (CHR)

Medi-Cal Program (00medi-cal) (Revision Date Apr 16, 2021) |95KB)
How to Use This Manual (0B hw to use) (Revision Date Sep 16, 2020) |371KB)
Appeal Form Completion (appeal form) (Revision Date Sep 16, 2020) |631KB)
Chiropractic Services (chiro) (Revision Date Sep 16, 2020) |194KB)
CIF Completion (cif co) (Revision Date Oct 15, 2021) |707KB)
CIF Special Billing Instructions (cif sp) (Revision Date Oct 16, 2020) |623KB)
CIF Submission and Timeliness Instructions (cif sub) (Revision Date Oct 16, 2020) |177KB)
CMS-1500 Completion (cms comp) (Revision Date Aug 16, 2021) |1574KB)
CMS-1500 Special Billing Instructions (cms spec) (Revision Date Oct 16, 2020) |212KB)
CMS-1500 Tips for Billing (cms tips) (Revision Date Oct 16, 2020) |165KB)
Forms: Legibility and Completion Standards (forms leg) (Revision Date Oct 16, 2020) |129KB)
Forms Reorder Request: Guidelines (forms reo) (Revision Date Aug 14, 2020) |110KB)
HCPCS Introduction (hcpcs) (Revision Date Aug 14, 2020) |114KB)
Medicare/Medi-Cal Crossover Claims: UB-04 (medi cr ub) (Revision Date Sep 16, 2020) |186KB)
Other Health Coverage (OHC) (oth hlth) (Revision Date Nov 16, 2020) |138KB)
Remittance Advice Details (RAD) (remit adv) (Revision Date Aug 31, 2020) |129KB)
Share of Cost (SOC): CMS-1500 (share cms) (Revision Date Aug 31, 2020) |823KB)
Sign Language Interpretation (sign) (Revision Date Aug 31, 2020) |136KB)

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