Insurance Claim Processing Services Forms for Santa Clara - Po Box 18640 San Jose Ca 95158
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FAQ
Item 24E - This is a required field. Enter the diagnosis code reference number or letter (as appropriate, per form version) as shown in item 21 to relate the date of service and the procedures performed to the primary diagnosis. Enter only one reference number/letter Page 17 per line item.
Physicians shall use POS code 11 (office) when services are performed in a separately maintained physician office space in the hospital or on the hospital campus and that physician office space is not considered a provider-based department of the hospital.
Visit Ask EDD to request to backdate your claim if you think it has the wrong start date. Select Unemployment Insurance Benefits, then Claim Questions, then Backdate the Effective Date of my UI Claim Due to COVID-19. In your UI Online account, select Contact Us to request a change.
Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare & Medicaid Services (CMS) maintain POS codes used throughout the health care industry.
Note: If you submitted your certification by mail and/or requested your benefit payments by check, allow 10 days for processing. If it has been more than 10 days since you submitted your certifications, Contact UI.
By PhoneEnglish and Spanish 1-800-300-5616.Cantonese 1-800-547-3506.Mandarin 1-866-303-0706.Vietnamese 1-800-547-2058.TTY 1-800-815-9387.