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Forms
Children's Health Insurance Program (CHIP) Notice
Mother and Newborn Act
Women’s Health and Cancer Rights Act of 1998
Medical Claim Form
Authorization to Release Protected Health Information Form
Clean Claim Letter
Current Health Solutions - Prior Authorization Request Form
Current Health Solutions - EFT and ERA Set-Up Instructions
Web Portal Guide
Web Portal Flyer
Balance Billing Protection Notice
CHS Contact Information
Applied Behavior Analysis (ABA) Treatment Form
Code Edit Review Form
Outpatient Mental Health Continued Treatment Form
Add-on Code Edits Fact Sheet
Global Maternity Code Edits Fact Sheet
Global Procedure Code Edits Fact Sheet
Medically Unlikely Edits Fact Sheet
Multicode Rebundling Fact Sheet
Procedure-to-Procedure (Unbundling) Edits Fact Sheet
Web Portal Guide