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  Providers can access publications, interactive tools, and other helpful information.

Training Video

  • Provider Enrollment Wizard

 Publications


Interactive Tools

  • Provider login
    Authorized providers can access the secure website to inquire about claims and verify member eligibility.
  • Hospital DRG Weights and Limits

    Disclaimer: Effective with the processing date of July 28, 2017, retroactive to dates of service on and after
    July 1, 2017, the previously implemented provider payment reduction was restored. Claims with a date of service prior to July 1, 2017, continue to receive the reduction. Effective for claims with dates of service on and after July 1, 2018, the DRG adjustment percentage was increased to 78% for outliers (both cost outlier and
    day outlier).

  • Hospital Rates
  • Reference Codes
    Find current coverage and pricing information.
  • Taxonomy Cross Reference List
  • Third-Party Liability Noncovered Procedure Code List
    Find a current listing of the noncovered procedure codes for the major health insurance carriers in the State of Kansas.

Helpful Information


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