Records will be automatically requested before claims are paid. Documentation for the specific date of service should include health care provider’s progress notes, orders, medication records, procedure/operative reports, relevant diagnostic/operative reports, or documentation of time that would assist in supporting the services submitted. Unsigned notes will delay processing times.
We strongly recommend you review the definition and requirements of CPT 99214, making sure your documentation reflects each point. Be sure to respond to any requests for records in a timely manner. Additional information is available.