Medical Necessity Datafiles

The software you use to check medical necessity is only as good as the data that supports it. We make sure the Quadax Medical Necessity Datafiles are up to date and comprehensive because we are our own biggest consumer. We rely on accurate, well-documented data for our EDI Clearinghouse and Managed Receivables operations.

The Quadax team of billing experts carefully examines Web sites, program memoranda, and other communications from carriers, fiscal intermediaries, and CMS. Additions, changes, and deletions are documented on a regular basis. Each month, new files containing all policy data (LMRP, LCD, and NCD) are distributed to our Datafiles clients along with change documentation. Each policy is identified by the issuer reference number and effective date. Files can be delivered to you by e-mail or FTP or on CD-ROM. And, when you have questions, we’re here to help.

Keeping track of and interpreting medical necessity policy data is a complicated business. Rely on the Quadax team of experts to do it for you!

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