About the Unit

• Insurance Billing Services Overview - Microsoft PowerPoint Presentation

Provider Insurance Billing Procedure

Provider Registration (required forms)

• Provider Registration Form
• Conditions of Registration
• eCare Release Form
• Availity Release Form
• Navinet Release Form
  

Sample of a completed Provider Registration

• Completed Provider Registration for a provider working under an agency
• Completed Provider Registration for a Solo provider

Participant Registration (required forms)

• Participant Registration Form

Sample of a completed Participant Registration

• Completed Participant Registration Form

Submitting Participant Encounter Forms

• Participant Encounter Form

Sample of a completed Participant Encounter Form

• Completed Participant Encounter Form

Starting February 1, 2010 ALL Participant Encounter Forms, including progress notes, MUST be typewritten.

Insurance Billing Unit FAX number is: (217)-492-5629

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