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Instructions for completing OHP billing forms
_______________________________________________________________________________ Do you have questions about how to correctly submit claims to DMAP so that they are processed and paid the first time? The handbooks and slide shows on this page can help answer your questions. Please use these documents in conjunction with your provider specialty's administrative rules, DMAP's General Rules, and Supplemental Information documents.
Note: Most files are in Adobe's Portable Document Format (PDF). If you don't have Adobe Reader 6.0 or higher, you will need to download the free Adobe Reader to view them.
These documents provide an overview of DMAP claims processes and instructions on how to complete billing forms. Each handbook includes the "Helpful Tips" specific to its form type.
Common FFS billing errors (PDF): This document shows resolutions to various Explanation of Benefit (EOB) codes that appear on your fee-for-service Remittance Advice.
The following slide shows present line-by-line billing instructions for DMAP providers for a variety of claim types.
The DMAP 1036 and DMAP 505 forms are available on the DMAP forms page. You can also order hard copy versions of these forms using the DMAP 2420 (Provider Forms Request).
DMAP does not supply the CMS 1500, ADA or UB claim forms. Sample forms and information about how to order these forms are available in the Supplemental Information document on your provider type's rulebook page. For a link to the rules and guidelines for your provider type, click here. Helpful tips for Addictions and Mental Health Division Providers more |
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