AdvancedHEALTHTimely-Filing-Grid2016 Created Date: 7:57:13 PM. Further information will be forthcoming on this web site. INSURANCE CLAIM TYPE TIMELY FILING LIMITS Aetna Initial Claim 120 days from DOS Aetna Appeals/Corrected Claims 180 days from date of denial or payment Amerigroup Initial Claim 90 days from DOS. Octo***Bayou Health Retro Enrollment/Disenrollment (DHH has delayed the implementation of this process. With only UnitedHealthcare accepting new members, Iowa did not meet this requirement.11 Iowa filed an emergent request with CMS in early November to waive. Timely Filing Requirements for Close out of Shared Plans Shared Plan Webinar Presentation Materials Ophthalmologists/ Optometrists/ Optical Suppliers: BAYOU HEALTH Shared Plan Claims Concerns LBHP and Bayou Health PMPM Payments Schedule through December 2015 Important Information for Providers Enrolled in Bayou Health - Shared Savings Plans ATTENTION ALL MANAGED CARE ENTITIES – End-of-Time Date Conversion from to 10/02/19Īttention All Optical Supply Service ProvidersĪttention All Pharmacy Providers – BAYOU HEALTH Prepaid Plan PBM InformationĪTTENTION DENTAL - ORAL SURGEON - PROVIDERS - CORRECTION to Remittance AdviceĪTTENTION DENTAL – ORAL SURGEON PROVIDERS REGARDING CLAIMS INAPPROPRIATELY PAID BY LEGACY MEDICAID FOR DOS BEGINNING 02-01-2015Īttention Providers billing through the United Healthcare BAYOU HEALTH PlanĪttention Labor and Delivery Service Providers (Hospital and Professional)Īttention New and Revised Place of Service Codes (POS) for Outpatient Hospital – Implementation Date 01-01-2016īAYOU HEALTH, LBHP, and DBPM PMPM PAYMENTS SCHEDULE, STATE FISCAL YEAR 2016īehavioral Health Providers Enrolled Through Bayou Health Managed Care Organizations Registering to Use e-MEVS for Eligibility Inquiries for December 2015īilling of Shared Savings Plan Claims after July 31, 2015ĭHH Schedules CCN Q & A Calls for Providers
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