Welcome Providers - El Paso First Health Plans, inc.

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EP First Top Denials Description Totals Duplicate Claim 15,060 Timely Filing 12,524 Member Not Enrolled 11,019 Member is SSI Enrollment 7,659 NPI is Invalid / Incomplete 4,084
CLAIMS DEPARTMENT Important Claim Elements for Paper and Electronic Claim Submission
Page 1 and 2: Welcome Providers Thursday, Novembe
Page 3: TexHealth El Paso County TexHealth
Page 7 and 8: ER Reports • Purpose - Help Prima
Page 9 and 10: SAMPLE ER REPORT
Page 11 and 12: Billing Medicaid Members Source: TM
Page 13 and 14: Billing Medicaid Members Source: TM
Page 16 and 17: Changes in the Timeliness of THStep
Page 18 and 19: Exceptions to Periodicity • Excep
Page 20 and 21: Developmental Screening Tools (ASQ
Page 22 and 23: Provider Relations Department THSte
Page 24 and 25: Oral Evaluation and Fluoride Varnis
Page 26 and 27: El Paso First - OB Benefits Edna Ma
Page 28 and 29: Benefits Doctor visits Hospital (
Page 30 and 31: El Paso First - Extra Benefits Ultr
Page 32: El Paso first members may receive a
Page 35 and 36: El Paso First CHIP Plan (CHIP) •$
Page 37 and 38: El Paso First Premier Plan (Medicai
Page 39 and 40: Children of Migrant Farm Workers Pr
Page 41: CLAIM DENIALS How To Preventing Cla
Page 45 and 46: Billing Provider -NPI Provider LOOP
Page 47 and 48: Provider Care Unit (PCU)
Page 49 and 50: Claims Status By Phone Local: (915)
Page 51 and 52: Electronic Claim Growth YR 2006 YR
Page 53 and 54: CONDITION INDICATOR CODES Auto Adju

Welcome Providers - El Paso First Health Plans, inc.

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