85 Search results for "eligibility"

1. Payment of Medicare Crossover Pharmacy Claims for QMB Recipients

   • Jul 8, 2016
   • Category: 2013-2016 Pharmacy Announcements

   ... mary pharmacy claims for recipients with Medicaid eligibility classification of 'Q'. Beginning Augus...
   

2. Payment Error Rate Measurement (PERM) Webinars

   • Jul 1, 2016
   • Category: Provider Announcements - 2016

   ... or Rate Measurement (PERM) audit program examines eligibility determinations for Medicaid and Childr...
   

3. Payment Error Rate Measurement (PERM) Webinars

   • Jun 1, 2016
   • Category: Provider Announcements - 2016

   ... or Rate Measurement (PERM) audit program examines eligibility determinations for Medicaid and Childr...
   

4. Claim Issue for Outpatient Specialized Therapy Services

   • May 24, 2016
   • Category: Provider Announcements - 2016

   ... enefit health plan is different than the NCTracks eligibility information causing the claim to deny....
   

5. Recoupment of Funds with Retroactive Change in MCO Enrollment

   • Apr 29, 2016
   • Category: Provider Announcements - 2016

   ... aged Care Organization (MCO.) When new or updated eligibility and enrollment records are received fr...
   ... e impact to capitation claims when new or updated eligibility and enrollment records are received fr...
   

6. Recipient Eligibility Not Updated Thursday Night

   • Apr 1, 2016
   • Category: Provider Announcements - 2016

   The recipient eligibility file is usually transmitted from NC FAST and updated in NCTracks every wee...
   Recipient Eligibility Not Updated Thursday Night
   

7. Reminder: Call Center Cannot Disclose PA Info to Recipients

   • Feb 8, 2016
   • Category: Provider Announcements - 2016

   ... may disclose to recipients pertains to their own eligibility, as reflected in NCTracks. PA informat...
   

8. Call Center Cannot Disclose PA Info to Recipients

   • Feb 8, 2016
   • Category: Recipient Announcements

   ... may disclose to recipients pertains to their own eligibility, as reflected in NCTracks. PA informat...
   

9. Change in LTC Nursing Facility FL2 PA Submission

   • Feb 2, 2016
   • Category: Provider Announcements - 2016

   ... s Provider Portal for a recipient that is pending eligibility, you must include the recipient’s addr...
   

10. New Edit for Emergency Hemodialysis

    • Jan 29, 2016
    • Category: Provider Announcements - 2016

    ... Y HEMODIALYSIS SERVICES ONLY when inquiring about eligibility information. Federal law restricts ...