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Good Evening
5:04:30 PM CDT
Wednesday, April 23, 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)  

Reconsideration of Billed Charges
To request reconsideration of medical bills, a Provider Request for Adjustment (M6) form must be completed. This form can be faxed or mailed to WSI, along with any supporting documentation. This form must be completed to request reconsideration for incorrectly processed charges (overpayment or denied charges).

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