Attention New Jersey Providers: Consent Form Now Mandatory for Sterilization Claims Under Medicaid

Nov 13, 2024

1 minute

Attention New Jersey Providers: Consent Form Now Mandatory for Sterilization Claims Under Medicaid

Claims involving sterilization procedures submitted to UnitedHealthcare Community Plan of New Jersey must include a completed Consent Form-7473-M ED 3-81. This requirement applies to all providers (hospital, operating physician, anesthesiologist, clinic, etc.) per state guidelines. Claims submitted without a fully completed, signed consent form will be denied.

Steps for Submission:

For sterilization claims submission, make sure to complete the consent form attached as follows:

Paper Claims: Make sure to attach the consent form directly to the mailed claim.
Electronic Claims: Strictly follow clearinghouse instructions to include the consent form with the submission.

For more information on this healthcare providers can consult with UnitedHealthcare via their 24/7 chat feature available in the UnitedHealthcare Provider Portal.

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Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

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