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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. The DRG adjustment percentage was restored to 75% 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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