Palmetto pwk form 2025

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PWK is an easy and proactive option for you to submit documentation with your initial electronic claim when youre certain medical records will be requested. PWK (Paperwork) is a segment within the 2300/2400 loop of the X12N version 5010 837 Professional and Institutional electronic transactions.
The paperwork segment of an electronic claim submission is commonly known as PWK. The PWK process allows you to use cost-effective electronic data interchange technology and if you choose to submit paper documentation at the time of the claim submission.
A coversheet must be submitted with each electronic PWK claim. ACN: The Attachment Control Number (ACN) is used to identify the documentation. This is submitted on the claim.
The PWK process was developed to allow providers an opportunity to submit unsolicited documentation while the claim initially processes. This documentation is used to support the medical necessity of the service(s) billed to eliminate the need for a contractor to solicit further documentation.
PWK06 is a value assigned by the supplier to uniquely identify the documentation to be mailed or faxed. This is the attachment control number (ACN). The ACN must match the CAN on the PWK cover sheet. The maximum field length is 50.
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PWK is a segment within the 837 Professional and Institutional electronic transactions. The PWK segment provides the linkage between electronic claims and additional documentation which is needed for claims adjudication.
A fax cover sheet serves multiple purposes. It identifies the sender, specifies the intended recipient, summarizes the content, and provides a level of protection for confidential and sensitive documents.

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