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Administrative Guide - Chapter Table of Contents Published: October, 2001 Introduction This section is devoted to the administrative aspects of working with PBH. This section may repeat information already located in other areas within the Provider Manual...more   Communicating Changes Moving your office? Adding a location? PacifiCare Behavioral Health requests that network providers notify the Provider Network Management Department of changes within their practice...more   Change Of Address/Information Click here to download the Change of Address/Information form.   How a PBH Member is Referred to a Provider The member calls PacifiCare Behavioral Health directly at the designated (800) number...more   No-Show Policy Recommendations This section applies to PBH network practitioners who provide services to a member under their managed care benefit plan...more   No-Show Sample Form Click here to download the No-Show Sample Form.   Clinical Documentation Requirements Although the responsibility to submit the appropriate documentation belongs to the provider, it is important for administrative personnel to understand the process...more   PBH Outpatient Prescription and Laboratory Policies Clinicians with prescriptive authority should remember:..more   Billing, It's As Easy As PacifiCare Behavioral Health is committed to prompt and accurate claims payment. In order to achieve this result, PBH relies on providers to submit accurate claims...more   Required Billing Information For HCFA Form 1500 The following fields are required to be filled in to insure expedient claims processing. Fields for which we have provided more detailed explanations are particularly important...more   Sample HCFA 1500 Form Click here to download the Sample HCFA 1500 Form.   Sample UB92 Form Click here to download the Sample UB92 Form.   Reimbursement Issues All claims should be submitted within 90 days from the date of service to avoid denial of the claim...more   Sample of Request for Billing Information Click here to download the Sample of Request for Billing Information form.   Coordination of Benefits Coordination of benefits is the practice of two or more plans coordinating their provision of health benefits to members who have multiple coverage...more   Sample: COB Dependent Inquiry Click here to download the Sample: COB Dependent Inquiry form.