Does the Alliance have a billing limit like EDS/Medi-Cal?
Yes. The Alliance follows Medi-Cal Delay Reason Code/Billing Limit Exception guidelines. For billing limit exception national value codes, please see the Claims Submission and Timeliness Overview (claim sub) section of the Medi-cal manualor Attachment D (Delay Reason, Condition, and POS Codes) of this Manual.
Related Questions
- If a provider registers an NPI on the Medi-Cal Web site, but the provider’s internal electronic billing system hasn’t been tested for Medi-Cal billing, will the claims be denied?
- Where does the ISHP fit in when documenting "targeted case management" for Medi-Cal (California) billing?
- Does the Alliance have a billing limit like EDS/Medi-Cal?
