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Comprehensive ABA Billing Checklist for Providers by State

Select the State:
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Select the Payor:
Cigna
Maryland
Cigna
Illinois
Cigna
Georgia
Cigna
California
Cigna
Florida
CIGAN
Maryland
Champva
Virginia
Champva
Tennessee
Champva
Florida
Caresource of GA
Georgia
Caresource Medicaid OH
Ohio
Caresource Marketplace OH
Ohio
Carelon
Massachusetts
Care Source
Georgia
Care First
Virginia
Care First
Maryland
Buckeye Medicaid OH
Ohio
Boon Chapman
Nevada
Blue Shield of California
California
Blue Cross Blue Shield of Tennesse
Tennessee
Blue Cross Blue Shield of South Carolina
North Carolina
Blue Cross Blue Shield of Michigan
Michigan
Blue Cross Blue Shield of Mississippi
Mississippe
Blue Cross Blue Shield of Maryland
Virginia
Blue Cross Blue Shield of Maryland
Maryland
Blue Cross Blue Shield
Texas
Blue Care TN
Tennessee
BIND
New York
Beacon Health Options
Ohio
Beacon Health Options
New Jersey
Beacon
Georgia
BCN
Michigan
BCBS of TN
Tennessee
BCBS
Texas
BCBS of MI
Michigan
BCBS of Georgia
Georgia
BCBS
New York
BCBS
New Mexico
BCBS
New Jersey
BCBS
Missouri
BCBS
Mississippe
BCBS
Maryland
BCBS
Michigan
BCBS
Illinois
BCBS
Georgia
BCBS
California
Anthem HK
Virginia
ATENA
California
ASR Health Benefits
Michigan
Anthem MCD OH
Ohio
Anthem MCD
Kentucky
Anthem
Kentucky
Anthem Blue Cross of California - Medical
California
Anthem Blue Cross of California - Commercial
California
Anthem BCBS Medical
California
Anthem BCBS
Virginia
Anthem BCBS Commerc
California
Amerihealth
New Jersey
Amerigroup
Tennessee
Amerigroup
New Jersey
Amerigroup
Pennsylvania
Amerigroup
Georgia
Allied Benefit Systems
Nevada
All Savers
New York
AETNA
Texas
AETNA
Virginia
All Savers
Mississippe
Affinity
New York
All Savers
Illinois
AETNA
Tennessee
AETNA
Ohio
AETNA
North Carolina
AETNA
New York
AETNA
New Jersey
AETNA
Missouri
AETNA
Nevada
AETNA
Michigan
AETNA MCD
Kentucky
AETNA
Georgia
AETNA
Massachusetts
AETNA
Maryland
AETNA
Kentucky
AETNA
Illinois
AETNA
Florida
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California

State selected

12

No of Payors

Checklist
Mandatory Fields (Y/N)
Patient Full Name
Yes
Patient DOB
Yes
Rendering Provider Full name
Yes
Rendering Provider Credential (BCBA/RBT/BCaBA)
Yes
Rendering Provider Signature (BCBA/RBT)
Yes
Supervising Provider Name and Signature (If Rendering provider RBT)
Yes
Signature Date and Time
Yes
Service Location (POS)
Yes
Session Date and Time
Yes
CPT and Diagnosis code should present on Medical records
Yes
Detail description of service performed
Yes
Treatment plan if required (Indicates Duration of service) or Progress Notes
Yes
Should Supervising provider be present at the time of service
Yes
Patient/Subscriber Signature required or Not
No
Do we have any separate guidelines to be followed for the plans HMO, PPO and POS
Follows - CMS Guidelines
Additional Information
No
Was there any change in Modifiers usage or in guidelines- HO, HM, HN, GT, 95
No
Insurance Phone #
18444-966-0298
Download Checklist

Disclaimer: The information contained in these checklists was last revised on May 2024. Users are advised to verify the current billing guidelines directly with their respective insurance providers, as policies are subject to change without notice.