Kan. Admin. Regs. § 28-4-414

Current through Register Vol. 43, No. 49, December 5, 2024

Section 28-4-414 - Payment

(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.

Kan. Admin. Regs. § 28-4-414

Authorized by K.S.A. 65-1,134; implementing K.S.A. 65-1,133; effective, T-85-41, Dec. 19, 1984; effective May 1, 1985; amended Sept. 12, 1997.