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Provider Update - Provider Type/Category of Services Billing

Date: 12/05/18

Arizona Complete Health-Complete Care Plan has noticed a significant increase in provider claims denying for the servicing provider’s Provider Type being invalid to bill for the procedure code(s). All Providers must ensure they are billing for services covered under their assigned specialty and category of service.

Providers receiving the following claim denial: EX7V- Provider Type is invalid for this procedure, should thoroughly review this communication as a means to prevent further denials.

Provider Update - Provider Type/Category of Services Billing (PDF)