Idaho Admin. Code r. 16.02.26.253
Current through August 31, 2023
Providers and parents or legal guardians must bill all other sources of direct third party payment before submitting their claims to CSHP for payment. Private insurance must be billed and benefits, or the denial of benefits, ascertained before the CSHP will consider payment. Typically either an Explanation of Benefits (EOB) from the third party payor or a letter stating that the service is not covered will be required before CSHP payment will be made. (3-15-22)
Idaho Admin. Code r. 16.02.26.253