Washington Provider General Billing Manual is a comprehensive guide for providers in Washington State to follow when submitting claims to the state's Medicaid program. It provides information on billing and reimbursement, coding, processing, and other important billing topics. It also includes state-specific codes, policies, and regulations that must be adhered to when submitting claims for reimbursement. The manual is updated annually and is divided into five sections: Pre-filling, Billing, Processing, and Post-Billing. The manual also includes information on the Medicaid fee-for-service, managed care, and other third-party payers. There are two types of Washington Provider General Billing Manual: the Standard Edition and the Professional Edition. The Standard Edition is for providers who are not part of a managed care plan, while the Professional Edition is for providers who are part of a managed care plan.
Washington Provider General Billing Manual
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The plan most people will want is the Washington Apple Health Integrated Managed Care plan (IMC). On top of its comprehensive healthcare benefits, the IMC plan offers health education, translation services, tobacco cessation, Boys & Girls Club memberships, and a healthy rewards program.
You may contact the Medicaid Purchasing Administration's Customer Service Center at 1-800-562-3022. (or TTY at 1-800-848-5429) or online at Washington State Medicaid Customer Service.
Apple Health is the name for Medicaid in Washington.
Clearinghouse Provider One ID: 2121991 ProviderOne displays the Associate Billing Agent/Clearinghouse page.
Learn more. Molina's BHSO health plan is designed to provide Washington Apple Health (Medicaid) Fee-for-service members with mental health and substance use disorder treatment services. Together with our behavioral health providers, our goal is to help keep you well.
ProviderOne is the computer system that coordinates with the health plans. It also sends you letters and handbooks. The number on the card is your ProviderOne client number.
Timely Filing Guidelines: accepted for payment after 365 days from the date of service. When Coordinated Care is the secondary payer, claims must be received within 365 calendar days from the date of disposition (final determination) of the primary payer. notification of payment or denial is issued.
Please note that you can submit electronic or paper claims. CHPW accepts electronic claims via the Availity Clearinghouse.