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Quick reference guides for various ProviderOne processes and policy issues. Fact sheets assist you with common issues experienced with ProviderOne and Apple Health (Medicaid).
On this page
- Balance billing prohibition
- Save and retrieve a claim (using DDE)
- Hospice providers: reporting nursing home NPI numbers on claims
- Creating templates and submitting a template claim
- How to make billing orthodontics easy
- How to read EOB codes
- How to bill with two authorization numbers
- Institutional type of bill codes for direct data entry (different than standard codes)
- Successful eligibility checks using ProviderOne
- Client benefit limit inquiry (in ProviderOne)
- Provider spenddown step by step
- Removing a provider's name from the list of providers accepting new patients
- FAQ for local jails and prescriber enrollment requirements
- FAQ on the Medicaid requirements for ordering, prescribing, and referring providers
- Provider inquiry in ProviderOne
- Reporting Medicare/Managed Medicare and commercial payer data on an 837 transaction
- Submitting professional crossover claims with secondary insurance
- DDE Medicare crossover claims for 5010