Documenting Allowable Protocol Charges

Posted: Oct 08, 2010
Hematology/Oncology Associates of Central New York.
KEYWORDS: Insurance Coverage


This MS Word template is designed for staff or administrators who need to determine which protocol charges are covered by the study verses submitted to the insurance company. A sample of the completed template containing protocol-specific information is provided.


The template uses a table format that is organized by the study calendar to differentiate both the location of procedures (internal or outside entity) and the appropriate method for billing.