Get Maryland Public Mental Health System (pmhs) - Valueoptions ...

This guide provides a comprehensive overview of how to effectively fill out the Maryland Public Mental Health System (PMHS) - ValueOptions form online. It will help you navigate the requirements and instructions in a clear and user-friendly manner.

Follow the steps to complete the PMHS ValueOptions form online.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Carefully read through the introductory section where you will get an overview of the necessary claims and services outlined in the document.
3. Fill out the Request for Reimbursement Form completely, ensuring that all fields are accurate as noted in the corresponding sections.
4. Attach all required documents including the Emergency Petition form (DC-13), ensuring it includes all necessary signatures.
5. For claim submissions as a facility, if applicable, complete the UB-04 claim form according to instructions, ensuring legibility and accurate completion of all required fields.
6. If submitting a claim as a physician, ensure the CMS-1500 claim form is filled out accurately with all necessary details as outlined, particularly the primary diagnosis field.
7. Review all completed forms and attachments to confirm that no field is left blank and that all information provided is correct.
8. Save your changes, and prepare the documents for submission. You can download, print, or share the completed forms as needed.

Start filling out your documents online today to ensure timely processing of your claims.