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NEW The Program Integrity Spotlight under Helpful Information below
features important information for providers.

Revalidate your existing application online.

Start a new online application.

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 will be restored. Claims with a date of service prior to July 1, 2017, will continue to receive the reduction. The DRG adjustment percentage will be restored to 75% for outliers (both cost outlier and day outlier).

Provider

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

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 will be restored. Claims with a date of service prior to July 1, 2017, will continue to receive the reduction. The DRG adjustment percentage will be 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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