Author Topic: DC Medicaid clams for Maryland Provider  (Read 1176 times)

barb2512

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DC Medicaid clams for Maryland Provider
« on: October 05, 2018, 06:31:31 PM »
Short story- Maryland clinical psychologist seeing DC Medicaid resident and billing from the Maryland office.  Visits have been approved and authorized. Provider has a DC Medicaid provider PTAN. We are sending the claims electronically to electronic payer ID 77002- AmeriHealth Caritas who handles the mental health claims for DC Medicaid. Regardless of how we send them, electronically or on paper to -  P.O BOX 7342 London, KY 40742-77002 - they do not make it into the insurance system.  Has anyone run into this? And what did you do?
Thank you,
Barbara

Michele

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Re: DC Medicaid clams for Maryland Provider
« Reply #1 on: October 08, 2018, 09:58:46 AM »
I haven't run into this particular problem but have you contacted DC Medicaid to verify where the claims for a MD provider should be submitted?  I would start with that.  The issue may be that it is an out of state/area provider submitting the claim.  Maybe it has to go to a different place.
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barb2512

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Re: DC Medicaid clams for Maryland Provider
« Reply #2 on: October 08, 2018, 12:38:11 PM »
Yes - thank you. We have verified where the claims are to go. And have set up the enrollment for electronic filing. b.

Michele

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Re: DC Medicaid clams for Maryland Provider
« Reply #3 on: October 08, 2018, 12:53:20 PM »
OK, great. 
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Re: DC Medicaid clams for Maryland Provider
« Reply #3 on: October 08, 2018, 12:53:20 PM »