Professional

This page is intended for Professional providers and is categorized by provider type. The following providers must use the ASC X12N 837P 5010 Professional format when submitting electronic claims or the Professional claims option via the CHAMPS Direct Data Entry(DDE) screens.

  • Ambulance
  • Medical Clinics
  • Ambulatory Surgical Centers
  • Durable Medical Equipment (DME)/Medical Suppliers
  • Anesthesiologist Assistants
  • Optical Companies
  • Certified Nurse-Midwives
  • Optometrists
  • Certified Nurse Practitioners
  • Oral-Maxillofacial Surgeons
  • Certified Registered Nurse Anesthetists (CRNA)
  • Orthotists and Prosthetists
  • Chiropractors
  • Physician Assistants
  • Community Mental Health Services Programs/Prepaid Inpatient Health Plans (CMH/PIHP)
  • Physical Therapists
  • Family Planning Clinics
  • Physicians (MD & DO)
  • Hearing Aid Dealers
  • Podiatrists
  • Hearing Centers
  • Private Duty Nurses (Individually Enrolled)
  • Independent Laboratories
  • School-Based Services
  • Maternal Infant Health Program (MIHP)
  • Shoe Stores
 
  • Urgent Care Centers

 

To access a resource click on the preferred file hyperlink.

 
Resources for all Professional Providers

 

Additional provider specialty-specific resources below

Ambulance

Durable Medical Equipment (DME)/ Medical Suppliers

Hearing Aid Dealers/Hearing Centers
  • Hearing Services and Devices New Provider and Policy Updates- PDFWebinar

Physician

 

 

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