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Pharmacies Participating With HMSA's Medical Plans

Before Treating the Patient

Benefit Policies

Claims Filing

General Reference

Injectables and Infused Drugs

Participating With HMSA

Payment, Reports and Appeals


Document Name:Document Number:
Agent Authorizationpel.aa.AGE.500
Benefit Overpaymentpel.aa.BEN.500
Billing for BMIpel.aa.BIL.201
Billing for DMEpel.aa.BIL.200
Billing for Injectable Drugs (Non-Vaccines)pel.aa.BIL.350
Billing for Senior
BlueCard Programpel.aa.BLU.500
CMS 1500 Claim Form - General Instructionspel.aa.CMS.400
CMS 1500 Claim Form - Vendorspel.aa.CMS.600
Coordination of Benefits - HMSA and Medicarepel.aa.COO.350
Coordination of Benefits - Private Insurancepel.aa.COO.550
Diagnosis Codingpel.aa.DIA.300
Durable Medical Equipment Items Requiring and Not Requiring Certificate of Medical Necessity (CMN) or DME Information Form (DIF)
Electronic Claims Filingpel.aa.ELE.600
Fee Schedule Requestpel.aa.FEE.400
Foot Orthotics for Persons with
Habilitative Servicespel.aa.HAB.501
HMSA Member ID Cardspel.aa.HMS.600
HMSA Plan Deductiblespel.aa.HMS.350
HMSA Planspel.aa.HMS.400
How Much to Charge the
Immunization Benefits - Medical
Injectable Drug Benefits - Medical
Injury/Illness Report Formpel.aa.INJ.900
Maximum Allowable Charge (MAC) Review for
Medical Policies - Medical
Medicare Advantage PFFSpel.aa.MED.530
Medicare Memberspel.aa.MED.550
Medication Therapy Management: Billing Code Changespel.aa.MED.770
Member ID Card - FEPpel.aa.MEM.500
Membership Connectionpel.aa.MEM.850
Motor Vehicle Insurancepel.aa.MOT.500
Multi - page Claimspel.aa.MUL.500
Palynziq (pegvaliase-pqpz)
Payment Determination Criteriapel.aa.PAY.500
Payment Transformation Annual Provider Surveypel.aa.PAY.351
Place of Service (POS) Codespel.aa.PLA.200
Prompt Payment of Clean Claimspel.aa.PRO.500
QNXT Pay Cyclepel.aa.QNX.100
Reimbursing HMSApel.aa.REI.500
Resource Bookspel.aa.RES.500
Setting Up Your Office to Bill HMSA and the
Specialist & Hospital Payment Transformation - Webinarpel.aa.PAY.350
Specialty Drugs Requiring Precertificationpel.aa.FDA.501
Supplies - Medical
Third Party Liabilitypel.aa.THI.500
Vaccine Storage and Handling Recommendationspel.aa.VAC.650
Vectibix (Panitumumab)pel.aa.VEC.500x
Verifying Claim Status and Resubmission of Processed Claims (CMS-1500)pel.aa.RES.600
Workers' Compensationpel.aa.WOR.500

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