O4 Hubs detail
O4 1 Column (Full)
O4 Text Component
Prior authorization requests, provider referrals and notification transactions with ICD codes must be coded using ICD-10 coding requirements.
Claims Operations will follow CMS guidelines with no exclusions, as follows:
- ICD-10 codes will be used for all claim submissions.
- Non-compliant claims will be rejected and returned regardless of whether the submission is in electronic or paper format.