You can schedule up to 30 business days in. Emailed photos of claims will be denied. If the transportation broker denies meals and lodging services to a beneficiary who requests these services, the member must receive a written notice of denial.
Monday through Friday from 7 a. . Incomplete forms will delay payment.
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To receive mileage reimbursement, call Access2Care five business days in advance of your appointment. This form must be completed in its ENTIRETY and returned to Southeastrans within 5 business days of the first transport. 4.
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&0183;&32;MILEAGE REIMBURSEMENT TRIP LOG AND INVOICE FORM Must be sent to LogistiCare, Attn Billing Dept, PO Box 248, Norton, VA 24273 I hereby certify the information contained herein is true, correct and accurate. CCC Plus Ride Assist 1-855-325-7581 (TTY 711), option 1. If the recipient has multiple appointments, please attach appointment verifications and a purpose of.
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349. to 6 p. The form should be returned for repayment within 30 days of the medical service date to Southeastrans, Inc.
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