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PA Bulletin, Doc. No. 01-244

NOTICES

Three Rivers Health Plans, Inc.; HCFA UB-92 Claim Form

[31 Pa.B. 896]

   On January 19, 2001, Three Rivers Health Plans, Inc. submitted a filing under section 1202 (c)(2) of the May 17, 1921 (P. L. 682, No. 284) (40 P. S. § 991.1202(c)(2)) requesting the ability to use a blank space on the UB-92 claim form to gather additional claim information. This filing would allow Three Rivers Health Plans, Inc. providers the ability to enter Type of Service 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 ofRate 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. 01-244. Filed for public inspection February 9, 2001, 9:00 a.m.]


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