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Asuris Northwest Health serves Yakima, Walla Walla and other communities in Eastern Washington with affordable medical and dental insurance plans.
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Administrative Manual

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Facility Guidelines

Asuris follows specific guidelines for billing and payment for facilities. These guidelines apply to all lines of business, except Medicare.

Asuris may audit any claim for appropriate coding, payment per contract and payment per Medical and Reimbursement policy. We will request any combination of invoice, medical records or itemized bill to support the audit. All documentation requested will be provided within 30 days of the request.

Additional Resources

Learn more about Description of information
Appeal process Review how to appeal a claim denial due to a billing or coding edit dispute
Inpatient or outpatient behavioral health or chemical dependency guidelines View the specific details in the Behavioral Health section
Submitting claims electronically View information on our various electronic transactions that are available, including electronic claims submission
UB-04 requirements Find out about our UB-04 requirements

Revised January 2010