Financial Information

Please note: You will need to turn your Pop-Up Blocker off to access Provider Direct. Click here for more details.

Financial documents for providers. Please click on the links below to access the information you need. Should you have any questions please contact the Finance Department at 704-721-7000

Finance Annoucements

Last Updated: 8/6/2008

 PBH Finance Communication Bulletin FY-0809-FN-16-Sliding Fee Scale
    Date Posted: 8/6/2008
 PBH Billing Audit Tool 2008
    Date Posted: 7/9/2008
 Communication Bulletin FY-0708-FN-77 Claims Submission
    Date Posted: 4/22/2008
 Communication Bulletin FY-0708-FN-75 - Residential Services Survey
    Date Posted: 4/14/2008
 Communication Bulletin BY-0708-FN-49 - Taxonomy Number
    Date Posted: 1/31/2008
 Place of Service Codes - Crosswalk
    Date Posted: 1/23/2008
 Changes to Provider Direct: Provider Maintenance Screens
    Date Posted: 1/4/2008
 FY-0708-NM-20 - Clinicians Info Registration Form
    Date Posted: 1/4/2008
 Communication Bulletin-FY0708-FN-44 Jan-June 2008
    Date Posted: 12/20/2007
 Communication Bulletin-FY0708-FN-45 Peer Supports
    Date Posted: 12/20/2007
 PBH Finance Communication Bulletin FY-0708-FN-17 Claim Adjustment Request Form and Claim Inquiry/Correction Form
    Date Posted: 11/5/2007
 Communication Bulletin-FY-0708-FN-12-Rate Increase-Innovation Services
    Date Posted: 10/12/2007
 Communication Bulletin-FY-0708-FN-13-Rate Increase-Psychiatry
    Date Posted: 10/12/2007
 Communication Bulletin-FY-0708-FN-15-PBH Claim Adjustment Form-Remittance Advice Footnotes
    Date Posted: 10/12/2007
 Communicaiton Bulletin-FY-0708-FN-07-Rate Increase for B3-funded SE Individual Maintenance Code H202608-17-07
    Date Posted: 10/12/2007
 Communication Bulletin-FY0607-FN-44-Redistributed-Payments of Services
    Date Posted: 10/12/2007
 Communication Bulletin-FY-0708-FN-11-Denied Claims Resubmission
    Date Posted: 10/12/2007
 PBH Finance Communication Bulletin FY-0708-FN-13 Rate Increases - Psychiatric Services
    Date Posted: 10/2/2007
 PBH 2007 Checkwrite Schedule
    Date Posted: 9/21/2007
 Finance Communication Bulletin FY-0708-FN-10 Innovations Waiver
    Date Posted: 9/7/2007
 Rate Increase for B3-funded SE Individual Maintenance Code H2026
    Date Posted: 8/20/2007
 PBH Sliding Fee Schedule effective 7/1/07
    Date Posted: 6/25/2007
 Rate Increase for Innovations
    Date Posted: 6/15/2007
 Rate Increase for State Funded Supported Employment Group
    Date Posted: 6/15/2007
 PBH Provider Claim Status Report - Update
    Date Posted: 8/23/2006
 Customer Service Memo Revised 07-13-2006
    Date Posted: 7/13/2006
 Billing Alert! Place Of Service 14
    Date Posted: 6/15/2006
 Memo-Rate Change Residential Supports Levels I, II, and III
    Date Posted: 2/7/2006
 Additional Provider Direct License Request
    Date Posted: 10/28/2005
 Directions/Coppefield Training Room
    Date Posted: 2/24/2005

Provider Billing Information

Last Updated: 8/6/2008

 Sliding Fee Scale 2008
    Date Posted: 8/6/2008
 Claim Adjustment/Inquiry and Corrections Instructions
    Date Posted: 6/11/2008
 PBH 2008 Checkwrite Schedule-Revised
    Date Posted: 5/13/2008
 UB04 Billing Instructions
    Date Posted: 11/12/2007
 Revised Communication Bulletin FY-0708-FN-17 - Claim Adjustment and Claim Inquiry Forms
    Date Posted: 11/7/2007
 PBH Claim Inquiry/Correction Form
    Date Posted: 10/29/2007
 PBH Claim Adjustment Request Form
    Date Posted: 10/29/2007
 PBH 837I Companion Guide
    Date Posted: 10/2/2007
 Resubmission of Denied Claims
    Date Posted: 9/19/2007
 PBH 837P Instructional NPI Implementation Guide
    Date Posted: 8/17/2007
 CMS 1500 Billing Instructions
    Date Posted: 6/22/2007
 Revisions to UB04/CMS1500 Instructionals
    Date Posted: 6/22/2007
 Changes to PBH Remittance Advice
    Date Posted: 6/22/2007
 PBH Health Insurance Information Referral Form
    Date Posted: 5/15/2007
 Prompt Claims Payment Policies
    Date Posted: 12/19/2006
 Revised Innovations Place of Service Crosswalk
    Date Posted: 8/3/2005
 Electronic Funds Transfer Form
    Date Posted: 6/21/2005