Notification of Pregnancy Information and FAQ on indianamedicaid.Member Management, Member Benefits and Services Pregnancy Member Management For Navigators: Quick Tips (PDF) – Important information and common questions to help you assist applicants.For Navigators: Next Steps (PDF) – Helpful sheet to provide to potential members who chose MHS on their application.If you would like any of these guides in print, please contact Provider Services at 1-87. Each time you press enter, find will take you to the next occurrence of the term until you reach the end of the document. Find will take you to the first use of that term. For additional information, questions or concerns, please contact your local Provider Network Management Representative. Having trouble finding what you need in a PDF? Hit Ctrl+F or go to Edit > Find, type in the term you are looking for, and press enter. Beginning October 1, 2020, the Timely Filing submission requirements specified in each Provider's Meridian Medicare contract will be enforced. ![]() Review all IHCP News, Banners and Bulletins Reject Reason Codes and Descriptions (PDF)ĬMS 1500 Quick Tips (PDF) Indiana Medicaid Bulletins and FAQs.MHS Coordination of Benefits (COB) 2020 (PDF).HIP Third Party Payer Reference Guide (PDF).5010 837P/I Companion Guide and Addendum B (PDF).The loss of reimbursement for claims due to timely filing errors can be significant, and while some payers may allow an appeal, some are becoming very strict about the rules for overturning a timely filing denial. ![]() In short, be sure to review all MA plan contracts or speak with an MA plan representative to be certain of the timely filing dates and educate all staff who may be involved with patient documentation and claims. Providers should check with the individual MA Plan to determine their timely claim filing requirements. ![]() "Question: Do Medicare replacement plans (Medicare Advantage (MA) Plans) generally follow Medicare guidelines for timely filing?Īnswer: We do not know about the timely filing guidelines for MA Plans. Part D Appeals: Wellcare By Allwell Medicare Part D Appeals P.O. Upon review of a CGS Medicare FAQ on timely filing for Medicare Advantage plans, the following question and answer was received, Wellcare By Allwell Appeals & Grievances Medicare Operations 7700 Forsyth Boulevard St. They state this change is done in an effort to, " simplify our processes, align with industry standards, and better support coordination of care." Some providers and/or coding and billing staff may be unaware that, although the original or traditional Medicare Fee For Service plan has a one-year timely filing rule, patients who transfer their Medicare benefits over and join a Medicare Advantage Plan are required to follow the timely filing rules for their particular MA plan and most often, that filing requirement is significantly shorter than one year.Īs an example, on June 21, 2019, Anthem Blue Cross sent a notification to their network and contracted providers informing them that their new timely filing rule will become effective as of October 1, 2019, and the time for submitting a claim will be limited to 90 days from the date of service.
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