Upload Scanned Practitioner and Transportation Service Logs

Please complete the information below and attach files for processing. You can attach multiple files to this form (see instructions below).


Imprortant: Only use this webform to upload billing logs. Do not use this form for service orders or backup/supporting documentaion.

Select (or search) your LEA name from the list below.

Select Your LEA Here
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Please enter your name, so we can contact you if there are any questions about the logs.

1. Limit file to no more than 25 pages. 2. Keep practice types separate. 3. Include the type of service in the filename 4. Include the oldest date of service (in the file) in the filename * Example filename 1: 1:1 Aides for Feb 2024 - oldest 02-02-24 * Example filename 2: Psychologists - oldest 08-17-18 You can submit multiple files with this submission, but you will have to attach separately.

Drag and drop files here or

Prior to submitting, Audit logs and Services for:

1. Patient Name 2. DOB (Date of Birth) 3. Name of practitioner 4. Type of practitioner 5. Date of service 6. Type of service (individual or group if required) 7. Length of service (or mileage if Transportation) 8. Logs have been signed and dated by practitioner/bus driver and supervisor (if required) 9. If treatment, ensure there is a current order in place and entered in SpEdCare. Services submitted without orders will be held and will not be transmitted for reimbursement.

Contractor Invoices

If you are uploading invoices for contracted, NPA or NPS services, be sure the invoices include, at a minimum: 1. Patient Name 2. DOB (Date of Birth) 3. Name of practitioner 4. Type of practitioner 5. Date of service 6. Type of service (individual or group if required) 7. Length of service

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