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EXTERNAL PROVIDERS

 

Claims

 
Submission & Inquiry   Payment & Processing   Dispute Resolution
 

Claim Payment:

 
  • Claims must be submitted within 90 days following the date of service, except as otherwise required by federal law or regulation.
  • Claims payments are made in compliance with state and federal timeliness guidelines.
  • Claim payment timeliness is measured from the date the claim was received by Facey Medical Foundation.
 

Claim Forms:

 
Below are links to helps for completing the CMS claim forms. Make certain that all fields are accurately completed.
 
For Professional Services
(Form CMS-1500)

For Facility Services
(Form CMS-1450)