Original Effective Date:
07/01/2012
Current Effective Date:
01/01/2015
Table of Contents
| QUEST Integration – Instructions for Completing CMS 1500 Claim Form | 2 |
| QUEST Integration – Instructions for Completing the UB-04 Claim Form | 16 |
| QUEST Integration – Instructions for Completing Universal Drug Claim Form (Paper Claims) | 38 |
| QUEST Integration – Acute Wait-Listed Claims | 43 |
| QUEST Integration – Claim Processing and Returns | 44 |
| QUEST Integration – Claims Filing Deadlines | 48 |
| QUEST Integration – Claims Filing Tips | 50 |
| QUEST Integration – Claims Requiring Attachments or Documentation | 52 |
| QUEST Integration – Cosmetic Procedures - Claim Documentation Requirements | 54 |
| QUEST Integration – Customizations to Commercial Claims Editing Software Product | 60 |
| QUEST Integration – Diagnosis Coding | 61 |
| QUEST Integration – Electronic Claims Filing | 63 |
| QUEST Integration – Hospital Admission Notices | 64 |
| QUEST Integration – Hospital Outlier Claims – Acute | 65 |
| QUEST Integration – Hospital Outpatient Services | 66 |
| QUEST Integration – Locally Assigned Codes | 68 |
| QUEST Integration – Long Term Care Facilities | 69 |
| QUEST Integration – Miscellaneous Procedures | 70 |
| QUEST Integration – Miscellaneous Procedure Codes | 73 |
| QUEST Integration – Modifier Code 58 | 76 |
| QUEST Integration – Modifier Code 59 | 77 |
| QUEST Integration – Newborn Claims | 78 |
| QUEST Integration – Payment of Services Rendered | 79 |
| QUEST Integration – Place of Service Codes | 81 |
| QUEST Integration – Report to Provider (Remittance Advice) Overview | 87 |
| QUEST Integration – Type of Service Codes | 99 |
| QUEST Integration – Turnaround Documents/Notification Documents | 101 |
| QUEST Integration – CMS 1500 Form – Vendors | 102 |
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |