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COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 00-720

NOTICES

UPMC Health Plan; HCFA UB-92 Claim Form

[30 Pa.B. 2183]

   On April 12, 2000, UPMC Health Plan submitted a filing under section 1202(c)(2) of the Uniform Health Insurance Claim Form Act of 1992 (40 P. S. §§ 991.1201 et seq.) requesting the ability to use a blank space on the UB-92 claim form to gather additional claim information. This filing would allow UPMC providers the ability to enter fund code data into Box 49 of the UB-92 claim form. This request shall be deemed approved by the Department if not disapproved within 60 days after the receipt of the filing.

   Copies of the filing are available for public inspection during normal working hours, by appointment, at the Insurance Department's office in Harrisburg.

   Interested parties are invited to submit written comments, suggestions or objections to Yen Lucas, Office of Rate and Policy Regulation, 1311 Strawberry Square, Harrisburg, PA 17120, within 15 days after publication of this notice in the Pennsylvania Bulletin.

M. DIANE KOKEN,   
Insurance Commissioner

[Pa.B. Doc. No. 00-720. Filed for public inspection April 28, 2000, 9:00 a.m.]


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