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URAC Accredited Health Plan
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Forms, Tools, Standards and Guidelines

-- A --
Ambulatory Medical Record Standards: Specialty Care Provider - PDF - 17 KB
Ambulatory Medical Records Guidelines - PDF - 16 KB
Ambulatory Medical Records Standards: Primary Care Providers - PDF - 35 KB


-- B --
Basic Enrollment Packet Katrina Packet - PDF - 109 KB
Billing Guidelines and Claims Processing - PDF - 33 KB


-- C --
Changes in TennCare Medicaid - PDF - 147 KB
Changes in TennCare Standard - PDF - 116 KB
Creden Application Final 2006 - PDF - 1.1 MB
Claims Exceptions Codes Nov. 07


-- D --
Disclosure Form - PDF - 434 KB


-- H --
Healthcare safety net chemo final - PDF - 52 KB
Hickey Memo - PDF - 42 KB
Home Infusion Revised - PDF - 48 KB
Hysterectomy Acknowledgement Form - PDF - 105 KB


-- J --
June 2005 - Home Infusion Drugs - PDF - 52 KB


-- M --
Medical Neccesity for Abortion - PDF - 99 KB


-- N --
Notification Vytorin - PDF - 10 KB


-- P --
Pediatric Immunization and Screening - PDF - 37 KB
Physician Attestation - PDF - 37 KB
PN Late Charges - PDF - 159 KB
Provider Directory Update June 2006 - PDF - 950 KB
Provider Directory Update 4th Qtr 06 - PDF - 29 KB
Provider Manual July 2006 - PDF - 6.11 MB
Provider Not Block 24 - PDF - 185 KB
Provider Notification - 03/01/2004 - PDF - 29 KB
Provider Notification - 05/15/2004 - Claims - PDF - 35 KB
Provider Notification - 05/15/2004 - Sterilization - PDF - 33 KB
Provider Notification - Billing Guidelines - PDF - 33 KB
Provider Notification - Member Eligibility - PDF - 33 KB
Provider Notification - Name Change - PDF - 33 KB
Provider Notification - Presumptive Eligibility - PDF - 44 KB


-- R --
Routine Prenatal and Obstetrical Care - PDF - 25 KB


-- S --
Sterilization Consent Form - PDF - 292 KB


-- T --
TennCare Reform and Member Eligibility - PDF - 33 KB
TennCare CRA Amendments 1-13 - PDF


 
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