Learning Resources
Frequently Asked Questions
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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. | |
If a plan doesn’t cover family planning, do we bill to Medicaid and send the EOB? | |
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. | |
How long do you have to request a hearing for an appeal?You have 30 days to request a hearing. | |
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. | |
What do you do if monies are sent to the patient?Change them to self pay after or before service completion. | |
If a Health Insurance Information Referral Form (HIIRF) is completed with no documentation, will the beneficiary's TPL record be updated?No, MIVS will further investigate and draft a letterhead showing steps taken. | |
If I send a HIIRF, will I see anything saying it was received?No, just wait a few days and check eligibility again. | |
Does the Medicaid card have all the information needed?No, you should further investigate eligibility using eligibility resources and the information provided on the card. | |