Missouri Department of Elementary and Secondary Education

Provider Billing Manual

If you have any First Steps-related questions, please e-mail webreplyspe@dese.mo.gov, and they will be addressed.

All these files are in PDF format

Cover

Table of Contents

Introduction

Service Authorization

Billing Authorization

Billing Options

• Option 1 - Service Authorization/Billing Form
  
• Option 2 - HCFA 1500 Billing Instructions

Claim Rejection Codes

Resubmission of Rejected Claim

Claims Corrections

Appendices

• Appendix A
  
• Appendix B
  
• Appendix C
  
• Appendix D
            -- Service Authorization/Billing
            -- Service Authorization/Billing (Discontinuation Notice)
            -- Service Authorization/Billing (Notice of Cancellation)
            -- Transportation Authorization/Billing
            -- Assistive Technology Billing
            -- Notification of Authorized Services
            -- Sample Check
            -- Explanation of Provider Payment
            -- Explanation of Benefits