[Provider] HCFA 1500 Update
Provider Notification
provider at lists.maine.gov
Mon May 19 10:05:41 EDT 2008
ATTENTION: MaineCare Providers Filing Adjustment and Void Claims on
HCFA 1500 Forms
Providers that are submitting claims using the EMC HCFA 1500 format and
are submitting adjustment/void claims are asked to remember:
* MaineCare will only accept one "G" record in the file
* The "G" record is the information contained in box 22 on the
HCFA 1500 form (Medicaid Resubmission Code and
Original TCN).
Claims that are billed with multiple "G" records fail to load in MeCMS.
Please reference the Appendix II: Electronic Claims FAQ's from the voids
communication packet. These instructions can be found at
http://www.maine.gov/dhhs/bms/member/innerthird/mecms_portal_news.html#r
epair
This is a one-way communication. Please do not respond to this message.
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