Financial Information

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Financial documents for providers. Please click on the links below to access the information you need. Should you have any questions please contact the Finance Department at 704-721-7000

Finance Annoucements

Last Updated: 7/7/2010

 Finance Communication Bulletin FY-1011-FN-01 Finance Customer Service Phone Line
    Date Posted: 7/7/2010
 PBH Sliding Fee Schedule Effective 7-1-2010
    Date Posted: 6/30/2010
 Communication Bulletin FY-0910-FN-91 Innovations Rates
    Date Posted: 5/17/2010
 PBH Finance Communication Bulletin FY-0910-FN-90 Claims Submission
    Date Posted: 5/11/2010
 PBH Finance Communication Bulletin FY-0910-FN-89 Changes to Specialized Consultative Services
    Date Posted: 5/7/2010
 PBH Finance Communication Bulletin FY-0910-FN-76 State Funded Services
    Date Posted: 3/25/2010
 PBH Finance Communication Bulletin FY-0910-FN-49 January 6. 2010 Remittance Advice Delay
    Date Posted: 1/11/2010
 PBH Finance Communication Bulletin FY-0910-FN-50 Rate Decreases - YM811 and YM812
    Date Posted: 1/11/2010
 Finance Communication Bulletin FY-0910-FN-47 Permanent Checkwrite Schedule
    Date Posted: 12/17/2009
 PBH Finance Communication Bulletin FY-0809-FN-16 Sliding Fee Schedule - Fiscal Year 2008-2009
    Date Posted: 11/4/2009
 PBH Finance Communication Bulletin FY-0910-FN-33 Process for Submission of Replacement and Voided Claims for Paid Claims
    Date Posted: 8/27/2009
 PBH Communication Bulletin FY-0910-FN-31-1018 Denial Codes
    Date Posted: 8/3/2009
 PBH Finance Communication Bulletin FY-0910-FN-21 Rate Change - T2041
    Date Posted: 7/2/2009
 Finance Communication Bulletin FY-0809-FN-77 08/09 Claims Submission
    Date Posted: 6/4/2009
 PBH Finance Communication Bulletin FY-0809-FN-68 Finance Department Frequently Asked Questions
    Date Posted: 3/31/2009
 PBH Finance Communication Bulletin FY-0809-FN-66 Re-posting of Remittance Advices
    Date Posted: 3/17/2009
 PBH Finance Communication Bulletin FY-0809-FN-67 Automatic Posting of Remittance Advices
    Date Posted: 3/17/2009
 PBH Finance Communication Bulletin FY-0809-FN-64 "Incident To" Billing Guidelines
    Date Posted: 3/16/2009
 PBH Finance Communication Bulletin FY-0809-FN-41 February 4, 2009 Remittance Advice Delay
    Date Posted: 2/9/2009
 PBH Finance Communication Bulletin FY-0809-FN-40 Implementation of Community Support Services - Tiered Rates with Attachement
    Date Posted: 2/5/2009
 FY-0809-FN-41-February 4 RA Delay
    Date Posted: 2/5/2009
 PBH Finance Communication Bulletin FY-0809-FN-39 January 28, 2009 Remittance Advice Delay
    Date Posted: 1/27/2009
 PBH Finance Communication Bulletin FY-0809-FN-38 Provider Checks and Remittance Advices
    Date Posted: 1/21/2009
 PBH Finance Communication Bulletin FY-0809-FN-37 Revised Resubmission of Denied Claims Instructions (Revision of Previous PBH Finance Communication FY-0708-FN-11)
    Date Posted: 1/14/2009
 PBH Finance Communication Bulletin FY-0809-FN-25 Rate Increases - T1023, H0010, H0015
    Date Posted: 1/14/2009
 Revised Resubmission of Denied Claims Instructions
    Date Posted: 1/13/2009
 The Remittance Advices (RA's) have been posted
    Date Posted: 1/5/2009
 Finance Communication Bulletin FY-0809-FN-30 Permanent Checkwrite Schedule
    Date Posted: 1/5/2009
 PBH Finance Communication Bulletin FY-0809-FN-22 Finance Customer Service Phone Line
    Date Posted: 12/16/2008
 FY-0809-FN-26-State Budget Reductions
    Date Posted: 11/19/2008
 FY-0809-FN-29-Agency and CCP Licensure
    Date Posted: 11/19/2008
 PBH Billing Audit Tool 2008
    Date Posted: 7/9/2008
 Communication Bulletin FY-0708-FN-77 Claims Submission
    Date Posted: 4/22/2008
 Communication Bulletin FY-0708-FN-75 - Residential Services Survey
    Date Posted: 4/14/2008
 Communication Bulletin BY-0708-FN-49 - Taxonomy Number
    Date Posted: 1/31/2008
 Place of Service Codes - Crosswalk
    Date Posted: 1/23/2008
 Changes to Provider Direct: Provider Maintenance Screens
    Date Posted: 1/4/2008
 FY-0708-NM-20 - Clinicians Info Registration Form
    Date Posted: 1/4/2008
 Communication Bulletin-FY0708-FN-44 Jan-June 2008
    Date Posted: 12/20/2007
 Communication Bulletin-FY0708-FN-45 Peer Supports
    Date Posted: 12/20/2007
 PBH Finance Communication Bulletin FY-0708-FN-17 Claim Adjustment Request Form and Claim Inquiry/Correction Form
    Date Posted: 11/5/2007
 Communication Bulletin-FY-0708-FN-12-Rate Increase-Innovation Services
    Date Posted: 10/12/2007
 Communication Bulletin-FY-0708-FN-13-Rate Increase-Psychiatry
    Date Posted: 10/12/2007
 Communication Bulletin-FY-0708-FN-15-PBH Claim Adjustment Form-Remittance Advice Footnotes
    Date Posted: 10/12/2007
 Communicaiton Bulletin-FY-0708-FN-07-Rate Increase for B3-funded SE Individual Maintenance Code H202608-17-07
    Date Posted: 10/12/2007
 Communication Bulletin-FY0607-FN-44-Redistributed-Payments of Services
    Date Posted: 10/12/2007
 PBH Finance Communication Bulletin FY-0708-FN-13 Rate Increases - Psychiatric Services
    Date Posted: 10/2/2007
 PBH 2007 Checkwrite Schedule
    Date Posted: 9/21/2007
 Finance Communication Bulletin FY-0708-FN-10 Innovations Waiver
    Date Posted: 9/7/2007
 Rate Increase for B3-funded SE Individual Maintenance Code H2026
    Date Posted: 8/20/2007
 PBH Sliding Fee Schedule effective 7/1/07
    Date Posted: 6/25/2007
 Rate Increase for Innovations
    Date Posted: 6/15/2007
 Rate Increase for State Funded Supported Employment Group
    Date Posted: 6/15/2007
 PBH Provider Claim Status Report - Update
    Date Posted: 8/23/2006
 Memo-Rate Change Residential Supports Levels I, II, and III
    Date Posted: 2/7/2006
 Directions/Coppefield Training Room
    Date Posted: 2/24/2005

Provider Billing Information

Last Updated: 1/19/2010

 PBH Reason Codes
    Date Posted: 1/19/2010
 Electronic Funds Tranfer Form
    Date Posted: 11/18/2009
 CMS1500 Instructions/Cheat Sheet
    Date Posted: 9/28/2009
 UB04 Billing Instructions/Cheat Sheet
    Date Posted: 9/17/2009
 PBH Sliding Fee Schedule Effective 7/1/09
    Date Posted: 7/16/2009
 Claim Adjustment/Inquiry Form Instructions
    Date Posted: 1/29/2009
 PBH Claim Inquiry Form
    Date Posted: 1/29/2009
 2009 Checkwrite Schedule
    Date Posted: 1/5/2009
 Sliding Fee Scale 2008
    Date Posted: 8/6/2008
 PBH 2008 Checkwrite Schedule-Revised
    Date Posted: 5/13/2008
 Revised Communication Bulletin FY-0708-FN-17 - Claim Adjustment and Claim Inquiry Forms
    Date Posted: 11/7/2007
 PBH Claim Adjustment Request Form
    Date Posted: 10/29/2007
 PBH 837I Companion Guide
    Date Posted: 10/2/2007
 PBH 837P Instructional NPI Implementation Guide
    Date Posted: 8/17/2007
 Revisions to UB04/CMS1500 Instructionals
    Date Posted: 6/22/2007
 Changes to PBH Remittance Advice
    Date Posted: 6/22/2007
 PBH Health Insurance Information Referral Form
    Date Posted: 5/15/2007
 Prompt Claims Payment Policies
    Date Posted: 12/19/2006