Frequently Asked Questions


Bookmark and Share

 

Frequently Asked Questions

 

Category Search>>



Browse the glossary using this index

Special | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ALL

Page: (Previous)   1  2  3  4  5  6  7  8  9  10  ...  24  (Next)
  ALL

D

Do other states have provider revalidation?

Yes, all 50 states have been mandated to perform provider revalidation. Revalidation FAQs PDF

Do we need to send an EOB?

An Explanation of Benefits from a third party payer should be kept on file in the provider’s office, especially if the payer didn’t submit payment.

Do we send an EOB with claims?

You do not send an EOB with claims, unless it is requested.

Do you file to another payer when you know services are not covered?

Yes, this is considered a valid denial.

Do you have to ask MIVS to research TPL non-payment?

No, they do this on their own to ensure payment.

Do you have to put in diagnosis codes?

If the service you are providing requires the use of a diagnosis code, then you must enter the diagnosis code with your claim information. 

Do you have to put the last 4 digits of the zip code for Claims Entry?

Yes; you can find zip codes on the US Postal Services website: www.usps.com.  Click on Look Up a Zip Code

Do you have to submit claims through Web Tool?

No, you may use other options like hard copy or vendor/clearing house.

Does a beneficiary have to be on Medicaid to qualify for HIPP?

No, but they must be Medicaid eligible.

Does Suspended mean processing?

No; Suspended means that the claim is in review. 


Page: (Previous)   1  2  3  4  5  6  7  8  9  10  ...  24  (Next)
  ALL