|The Provider Publications page contains links to provider bulletins, manuals, newsletters, forms, claim processing information, and drug rebate information.
Navigation Path: [Information] - [Links]
The documents found on this page can be viewed online or downloaded and printed. When the provider clicks any of the links on this page, a new window opens where the user can either save or print the document. This page includes the following panels:
-Bulletin Search: Allows users to search and download various bulletins
-Provider Manuals: Provides a link to various chapters of the provider manual. To download Chapters 7 and 8, please select your provider type from the drop down box. To download Chapter 11, please select the appropriate claim type from the drop down box.
*Please note that the Professional Services Manual is applicable to the following provider types: Chiropractor, Independent Clinical Laboratory, Independent Radiology, Naturopath, Nurse Practitioner, Nurse Midwife, Physician, Podiatrist, Independent Therapy Services, Transportation, and Vision (including ophthalmologists, optometrists, and opticians).
-Forms: Includes claim forms and other forms in PDF format. Includes dental, pharmacy, TPL information, UB-04, CMS-1500, PCAR, authorization for EFT, form reorder cards, and other forms
-Provider Newsletters: Provides links to current and historical newsletters. Every release of newsletters includes the latest activities and updates, along with Gainwell Technologies holiday schedules.
-Claims Processing Information: Contains links to claims related documents such as the Explanations of Benefits crosswalk and Internet Claim Submission FAQ
-Drug Rebate: Provides link to navigate to document pertaining to the J-Code FAQs
To Search for Provider Bulletins:
1. In the Bulletin Search panel, complete the search field(s) with known information and click search.
-If no search results are displayed, change the search criteria.
-If there are search results, go to the next step.
2. Click on a row in the Search Results panel.
-The requested provider bulletin opens in PDF format in a separate browser window.