Provider materials and tools
Ambulatory Surgery Center (ASC) Billing Guidelines
Magellan Complete Care values the exceptional level of service and care that our providers give to our members. Our goal is to partner with you to ensure that our members receive the best care possible; and that you receive timely payments for services that you provide to our members.
We have aligned our billing guidelines with the Agency for Health Care Administration (AHCA) for Ambulatory Surgery Centers (ASC).
Effective immediately, the following updates to our ASC guidelines are as follows:
- ASC providers must submit their claims on a CMS1500 claim form.
- ACS providers will be reimbursed for ASC services using the Enhanced Ambulatory Patient Grouping (EAPG) reimbursement methodology.
- ASC claims submitted on a UB04 claim form will be denied with a request for the claim to be rebilled on the appropriate CMS1500 claim form.
If you have any questions please call us at 1-800-327-8613.
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