Indiana Network Management Systems Agreement
Description
How to fill out Network Management Systems Agreement?
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FAQ
A corrected claim can be submitted following IHCP claim adjustment processes. A claim adjustment code is required on all claims, based on the type of claim submitted. Example: Frequency 7 entered in Box 22 of the CMS-1500 form. Example: Frequency 7 used as the last digit for the bill type on a UB-04 form (i.e. 1x7).
Claims scrubbing or Claims submission process involves reviewing the claim data before submitting the claims to payers. We utilize the functionality in the practice management systems to check the data integrity. We identify and correct the rejections and work edits before onward submission to insurance payers.
Increase accuracy and cut down on claim rejections. While paper claims are often rejected due to inaccuracies, omissions, or other problems, submitting claims electronically can result in fewer lost or incomplete claims.
For the most efficient processing of your claims, CareSource recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process.
The Administrative Simplification Compliance Act (ASCA) requires that Medicare claims be sent electronically unless certain exceptions are met. Providers meeting an ASCA exception may send their claims to Medicare on a paper claim form. (For more information regarding ASCA exceptions, refer to Chapter 24.)
Your Medicaid office may ask you to show the following: Proof of date of birth (e.g., birth certificate) Proof U.S. citizenship or lawful residence (e.g., passport, drivers license, birth certificate, green card, employment authorization card)