[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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