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Looking for an approved ICE document/template? They can be found in the Approved ICE Documents folder - click here for a list of available documents for each ICE team: APPROVED ICE DOCUMENTS.

ICE documents can be altered for use by organizations/other regions as needed; however, the ICE logo/any ICE references should be removed if the document is not being used in its original format.


ICE is a voluntary 501(c)3 organization that includes participation by and advice from accrediting and regulatory agencies. The goal of ICE work products is to offer ICE participating organizations standardized tools and best practices toward optimizing efficiencies to implement health industry requirements. ICE heeds feedback from accrediting and regulatory agency partners regarding ICE work products; however, ICE does not obtain official regulatory approval for its work products. As such, ICE work products are not to be considered exempt from any approval process required by regulatory agencies.


APPROVED ICE DOCUMENTS

 Click to open category Appeals and Grievances Improvement Team  
 Click to open category California SB260  
 Click to close category Claims  
     Click to open category Advanced Diagnostic Imaging (ADI) Documents
     Click to open category Approved Claims Documents
     Click to open category CMS Provider Dispute Resolution (PDR) Process Documents
     Click to open category Commercial Denial Letter Templates
     Click to close category Click to Download All Documents in Subfolder Commercial Provider Dispute Resolution (PDR) Process Documents
       File   Upload   Review
  Title     Size   Date   Date
 2008 PDR LTR CHANGES   30 KB   10/17/2007   
 AB1455 Claims Definitions   63 KB   8/7/2008   
 AB1455 Claims Time Limits   70 KB   11/17/2003   
 Coml_ClaimsPDR_Report_Addresses_022807   24 KB   5/1/2007   
 FAIL TO SUBMIT INFO CLOSURE LTR 0108   29 KB   10/17/2007   
 ICE _Claims_Medi-Cal PDR_QTRProvDisputesRpt   73 KB   6/6/2017   
 ICE Claims ComlQtrProvDisputesRpt 10-31final   52 KB   9/7/2006   
 ICE PDR 101 Guide 10-2009   6857 KB   11/10/2009   
 MULTI DISP ACK LTR 0108   30 KB   10/17/2007   
 NON UM UPHLD DISC LTR 0108   30 KB   10/17/2007   
 OVERTN CLOSURE LTR PAYMT 0108   28 KB   10/17/2007   
 PDR Form combined 0108   108 KB   10/17/2007   
 PDRFormcombined_APPROVED 8-24-05   118 KB   9/7/2006   
 SINGLE DISP ACK ADD INFO NEEDED 0108   30 KB   10/17/2007   
 SINGLE DISP ACK LTR NO INFO 0108   28 KB   10/17/2007   
 UPHELD DISP RES LTR 0108   28 KB   10/17/2007   
 UPHELD UM CLOS LTR 0108   30 KB   10/17/2007   
     Click to open category Training Documents
 Click to open category Claims Cal MediConnect Health Plan-Specific Member Denial Templates  
 Click to open category Claims CMS Health Plan-Specific Member Denial Letter Templates  
 Click to open category Claims Commercial Health Plan-Specific Member Denial Letter Templates  
 Click to open category CMS Universe Templates  
 Click to open category Contracting & Compliance Team  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Cultural & Linguistic Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category DMHC Access Regulations Team  
 Click to open category Provider Directory Updates Team  
 Click to open category QI / UM Team - Main  
 Click to open category Risk Adjustment Data Acquisition & Reporting (RADAR) Team  
 Click to open category Site Visit Team (falls under Credentialing Shared Audit Policy Team - Main / California)  
 Click to open category UM Required Reports Team (formerly QI and UM Required Reports Team)  
 Click to open category UM Templates & Tools (1) - Health Plan Posting Request Instructions  
 Click to open category UM Templates & Tools (Cal MediConnect) - Health Plan-Specific Templates  
 Click to open category UM Templates & Tools (Commercial UM LAP Templates for LAP Regulations Effective on and after 1/1/09)  
 Click to open category UM Templates & Tools (Commercial)  
 Click to open category UM Templates & Tools (Medi-Cal)  
 Click to open category UM Templates & Tools (Medi-Cal) - Health Plan-Specific Templates  
 Click to open category UM Templates & Tools (Medicare Advantage Templates for Marketing Guidelines)  
 Click to open category UM Templates & Tools (Medicare Advantage)  

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  Microsoft Word File
  Microsoft Excel File
  Microsoft PowerPoint File
  Microsoft Word XML File
  Microsoft Excel XML File
  Microsoft PowerPoint XML File
  Zipped File
  Unknown File Type

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