Claims-Related

• Julian Date Calendar (05/27/2003)
• Medicaid Refunds (08/11/2006)
• Provider Inquiry (03/08/2006)

Enrollment and Registration

• Primary Care Plus Enrollment for Naturopathic Physicians (05/12/2008)
• Change of Address (01/18/2006)
• EDI Registration (11/09/2006)
• Enrollment Directions for Vermont Medicaid (06/04/2007)
• Group Affiliation Request (11/16/2007)
• Primary Care Plus Enrollment (06/12/2007)
• Provider Enrollment Agreement (05/02/2007)

Third Party Liability (TPL)

• Change Request (11/16/2007)

Trading Partner

• Point of Service Device Ordering (Omni 3740-related) (09/24/2004)
• Trading Partner Agreement (11/09/2006)

Treatment-Related

• Abortion Certification (10/08/2008)
• Hysterectomy Consent (06/02/2008)
• Medical Necessity (01/24/2006)
• Sterilization Consent (08/30/2004)
• Therapy Extension (09/01/2007)
• Pre-Procedure Request Form (06/02/2008)
• Out-of-State Preadmission Request Form (06/02/2008)
• Prior Authorization for Chiropractic Services (08/05/2008) 

Vermont Health Access Program (VHAP)

• Adjustment Request (05/22/2007)
• Electronic Funds Transfer Authorization (06/26/2007)
• Multiple Adjustment Request (MS Word format) (11/15/2007)
• Multiple Adjustment Request (PDF format) (11/15/2007)