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Good Morning
9:34:05 AM CDT
Saturday, April 19, 2014

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Billings, Medical Payments, and Fee Schedules

Topics Provider Remittance Advice Forms & Publications E/M Documentation Guidelines
Billing and Medical Payments Reconsideration of Billed Charges Explanation of Benefits (EOB) Codes  
Bill Review Department Billing Options Provider Request for Adjustment (M6)  
Payment Delays Fee Schedule Information Fee Schedules  
Advanced Beneficiary Notice of Non-Payment (ABN)   Advanced Beneficiary Notice (ABN)  

Advanced Beneficiary Notice of Non-Payment (ABN)
An Advanced Beneficiary Notice (ABN) is a form to notify injured workers that Workforce Safety & Insurance (WSI) may not cover specific services. It encourages injured workers to make informed decisions about their medical care and provides them with the option to opt out of non-covered services. If choosing to receive the care, it informs the injured worker of their financial responsibility should WSI not cover the services.

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