Override Requests using the Medicaid Resolution Inquiry Form

Many of the override requests received by CSRA using the Medicaid Resolution Inquiry Form are missing the required claim form or include a claim copy which is not suitable for scanning. An original claim form should be attached to each override request submitted. Inquires which do not include an appropriate claim form cannot be processed. Requests must also include single-sided copies of documentation to support the override request.

For more information on override requests and the Medicaid Resolution Inquiry Form, refer to the User Guide “How to Submit Claim Adjustments and Time Limit and Medicare Overrides” posted on the Provider User Guides and Training page of the NCTracks Provider Portal.