NEW - Online Application for Code Verification Review


The PDAC is in the process of converting all forms for online submission. The Application for Code Verification Review (CVR) is currently available for use. To save time, have all required documentation ready for file upload prior to submitting the Online CVR application. Click or hover over the Form tab to locate and launch the online version of the CVR application.

View of forms menu with arrows pointing out new Application for Code Verification Review



Last Updated: 03/31/2023

Palmetto GBA Web Chat

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Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
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Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
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