MAMSI: Health Care Professionals

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Physicians, Health Care Practitioners and Facilities! The Claims Status Look-up feature allows you to quickly and easily view the status of claims submitted within the past 180 days.

Physicians and Health Care Practitioners! We've made several enhancements to our voice-activated telephone system that gives you easy access to eligibility, claim status, pre-certification and more. Call 1-800-342-6141 to connect to the system 24 hours a day, seven days a week.

Members! Do you have a question about your health plan? The answer may be in the FAQ or Member Glossary section of our Web site.

Home > Health Care Professionals > Publications and Documents

Publications and Documents

Documents

Physician, Health Care Professional, Facility and Ancillary Provider Administrative Guide.* Click here to view/print the Guide.

2007/2008 Mid-Atlantic Regional Supplement.* Click here to view/print the Guide.

Payment Policies

Click Here to view/print the payment policies that will apply to all M.D. IPA, Optimum Choice, MLH and Alliance Customers.

Protocols

Protocols for MD-Individual Practice Association, Inc., Optimum Choice, Inc. and MAMSI Life and Health Insurance Company products.

Click Here to view/print the protocols.

*You will need Adobe Acrobat to view this document. Acrobat is a free program that can be downloaded at www.adobe.com.

FAQ

Frequently asked questions about M.D. IPA, Optimum Choice, and MLH. Click here.

Publications

Coding Claims (Effective November 2005)

Emergency Services Diagnosis Code Listing (Effective 10/1/08)