RA Messages for December 16, 2003
PHARMACY PROVIDERS, PLEASE NOTE!!!
IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE
CONTACT THE PBM HELP DESK AT 1-800-648-0790.
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN
INCORRECTLY PAID.
HOME AND COMMUNITY-BASED WAIVER SERVICES
FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.
ATTENTION AMBULANCE PROVIDERS
AS A RESULT OF HIPAA IMPLEMENTATION, AMBULANCE CLAIMS THAT DID
NOT HAVE THE NEWLY REQUIRED MODIFIERS WERE INCORRECTLY PAID. THESE CLAIMS
SHOULD HAVE DENIED DUE TO THE MISSING MODIFIERS. DHH WILL VOID THESE CLAIMS
AND PROVIDER MUST RE-BILL USING THE APPROPRIATE MODIFIERS. THE VOIDS WILL SHOW
UP ON THE NEXT RA.