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Provider Resources

Ordering/Referring/ Prescribing (ORP)

Ordering, Referring and Prescribing (ORP) is a claims submission requirement that is for all claims with a date of service of January 1st 2018 and after. The Office of Mental Health and Substance Abuse Services (OMHSAS) establishes the levels of care (Provider Type / Specialty) where ORP are required to support the billed services. For a complete list of all levels of care that require ORP, please access Document A.

**Any claim that does not include an active / eligible ORP practitioner on a claim are subject for denial, retraction and recoupment.

If you have any questions regarding your ORP compliance or need technical assistance on how to become compliant for this requirement, please contact your Network Management Specialist at:

Bucks/Montgomery:
(877) 769-9779        

Cambria:
(800) 424-3711

Delaware:
(800) 686-1356

Lehigh/Northampton:
(866) 780-3368

ORP Resources

ORP Training

 

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