Insurance claims processing Forms for Contra Costa
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FAQ
CMC Submission Inquiry InstructionsClick either the "Transaction Services" or "Login" link from the Medi-Cal home page.Enter your submitter ID and password.The "Transaction Services" menu will appear.The "Inquiry on Submissions" page will appear.The status of your submission will be displayed if it is available.
Six-Month Billing Limit Original (or initial) Medi-Cal claims must be received by the California MMIS Fiscal Intermediary within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.
They cannot be used to replace multiple original claims. Must contain corrected information for the original claim. Must include the previous 13-digit Claim Control Number from the original paid claim. Replace only the one claim line being changed for medical services and outpatient claims.
The claim submission is defined as the process of determining the amount of reimbursement that the healthcare provider will receive after the insurance firm clears all the dues. If you submit clean claims, it means the claim spends minimum time in accounts receivable on the payer's side, resulting in faster payments.
Your insurance claim, step-by-stepConnect with your broker. Your broker is your primary contact when it comes to your insurance policy they should understand your situation and how to proceed.Claim investigation begins.Your policy is reviewed.Damage evaluation is conducted.Payment is arranged.
What is a medical claim? A medical claim is a bill that healthcare providers submit to a patient's insurance provider. This bill contains unique medical codes detailing the care administered during a patient visit.