Pennsylvania Code
Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 5598 (August 31, 2024).

55 Pa. Code § 52.41. Provider billing.

GENERAL REQUIREMENTS


§ 52.41. Provider billing.

 (a)  A provider shall submit claims in accordance with §  1101.68 (relating to invoicing for services).

 (b)  A provider shall use the Department’s designated claims processing system to submit claims.

 (c)  An applicant may not bill for a service prior to being enrolled as a provider by the Department.

 (d)  The provider shall enroll in the Department’s designated claims processing system upon receiving notice that the application is approved.


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