Rehabilitative Services

 

Medical Coverage Guidelines


Please note that coverage guidelines and procedures are subject to change. Refer the monthly Provider Update for more information.

 

 

Claim Preparation Instructions

 

 

Error Status Codes

 

 

Explanation of Benefits (EOB) Codes

 

 

Appendix - Third Party Liability Carrier and Coverage Codes

 

For specific questions you may contact the Customer Service Help Desk at (401) 784-8100 for In-state and long distance callers, or 1-800-964-6211 for In-state toll callers and border communities.

 

 

 

 

 

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