Kansas Administrative Regulations
Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT
Article 4 - MATERNAL AND CHILD HEALTH
Section 28-4-414 - Payment
Universal Citation: KS Admin Regs 28-4-414
Current through Register Vol. 43, No. 12, March 20, 2024
(a) Each provider shall submit a claim to the secretary for payment for a prior-authorized clotting factor or service within six months of the date of service.
(b) Each claim submitted for payment shall provide the following information:
(1) the
eligible person's name and address;
(2) the date the service was provided;
(3) the appropriate procedure
code;
(4) the insurance or
medicaid status, or both, of the eligible person, when applicable.
(c) Each provider shall submit to the secretary the explanation of benefits from insurance carriers or the remittance advice from medicaid, as applicable, for final adjudication of each claim.
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