Learning Resources
Frequently Asked Questions
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Can MIVS track down where other payer’s money goes if you are not paid?No, but they can contact other payers to obtain payment information. | |
How long do you have to request a hearing for an appeal?You have 30 days to request a hearing. | |
If my third party has several addresses, which one do I choose?You would contact the company to find out which address is for your service area. | |
If a plan doesn’t cover family planning, do we bill to Medicaid and send the EOB? | |
If I have a difficult payer, do I need to complete a reasonable effort document?Yes you can. It is to show efforts made to obtain other payments from other insurers. | |
Do we send an EOB with claims?You do not send an EOB with claims, unless it is requested. | |
Where are the specifics for pay and chase?The specifics for pay and chase are found in Section 2 (polices) and section 3 (billing) of your provider manual. | |
Is the EFT form used for MCOs as well?No, they have their own forms and billing systems. | |
Can I do a span date on the Web Tool?Yes, by entering in information in the to and from fields. | |