Medical Records - Medical Evidence Fee Schedule
Medical Records
Effective, July 1, 2020, you must be enrolled in ProviderOne to claim reimbursement for these services. For more information please visit the Health Care Authority’s ProviderOne Enrollment Page.
For questions about submitting a claim please contact ProviderOne at 1-800-562-3022 or online.
If you are a Medical Records Company and need to enroll in ProviderOne for billing purposes, please complete Health Care Authority’s simplified payment agreement. Medical Record Companies can find billing guidance on how to submit a claim here.
|
Service Type ⃰ |
Reimbursement Fee |
ProviderOne Service Code |
Taxonomy and Diagnosis Codes |
|---|---|---|---|
|
Medical Records (copies) |
$0.30 per page – maximum of 150 pages
|
S9982 |
Effective 4/1/2023 use Taxonomy: 247000000X (Technician, Health Information) For services prior to 4/1/2023 use Taxonomy: 246YR1600X (Registered Record Administrator) Use Diagnosis Code: R69 |
|
Medical Records (clerical fee)
|
$20.00 | S9981 |
Effective 4/1/2023 use Taxonomy: 247000000X (Technician, Health Information) For services prior to 4/1/2023 use Taxonomy: 246YR1600X (Registered Record Administrator) Use Diagnosis Code: R69 |
|
Medical Records (sales tax and/or postage*)
|
Actual cost of tax and/or postage* if applicable | S9999 |
Effective 4/1/2023 use Taxonomy: 247000000X (Technician, Health Information) For services prior to 4/1/2023 use Taxonomy: 246YR1600X (Registered Record Administrator) Use Diagnosis Code: R69 |
* The cost of postage is eligible for reimbursement only if the Department was unable to provide the vendor with a postage-paid business reply envelope.