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Provider Letters: 2007

July 25, 2007
Passport Health Plan Announces Revised UB-04 Forms & Instructions (PDF)

New UB-04 Form & Instructions (PDF)

July 25, 2007
Passport Health Plan Announces Revised CMS-1500 Claim Form & NPI Instructions (PDF)

Revised 1500 Claim Form & NPI Instructions (PDF)

July 18, 2007
PHP Member ID Card Changing To Red and Black (PDF)

May 08, 2007
NPI Provider Update - Announcement of Contingency Plan (PDF)

Passport Advantage is a health plan with a Medicare contract. This Plan is available to all active Passport Health Plan members with Medicare Parts A and B. For full information on Passport Advantage benefits call Member Services. The content on this website is available in alternate formats, such as Braille, large type, or another language. Please call us at 1-800-578-0603, then press 1 (TTY: 1-800-648-6056), 7 days a week from 8 a.m. to 8 p.m. to request another format.
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