| Q: |
We do not submit claims electronically, can we continue to print claims from our computer? |
| A: |
If the form that you are using is a standard red and white drop out form, yes, you can print from your printer. If you are using a laser printer and printing black and white forms, you will need to switch to the red and white claim form. Forms that you have created to look like a claim form cannot be accepted. |
| Q: |
Regarding the IME Contact Information list, what is the Spend Down telephone number? |
| A: |
Effective 6/30/05, you will call Provider Services and they will have Spend Down information. |
| Q: |
Regarding resubmission of claims, can we use a copy of the original claims or do we have to submit a new claim? |
| A: |
Resubmissions must be sent on an original claim form. Copies cannot be accepted. Remember to always show your original filing date. |
| Q: |
Are there instructional sheets to assist with PC-ACE PRO32 software? |
| A: |
Instructional sheets are available now on the Noridian website and will soon be available on the Provider Website. |
| Q: |
Can paper claims continue to be billed to Medicaid or is Medicaid going to require only electronic submissions? |
| A: |
Paper claim submissions will continue to be accepted by Medicaid. |
| Q: |
Will Medicaid member cards have the Member Services number printed on them? |
| A: |
Yes. |
| Q: |
Are the Department of Human Services Case Workers being notified of all the changes relating to the Iowa Medicaid Enterprise (IME) transition? |
| A: |
Yes. |
| Q: |
Can claim status be checked on the website? |
| A: |
Yes, as of 06/30/05. You will need to enroll with EDISS in order to use this feature. |
| Q: |
Will providers be required to move to an 835 (electronic remittance advices)? |
| A: |
No. |
| Q: |
Will there be any changes in existing Provider or Member Medicaid Numbers? |
| A: |
No, all issued numbers will remain the same. |
| Q: |
Is there are charge for using ELVS? |
| A: |
No, the Website is free to providers. There is also a toll-free number for long distance calls to the Voice Response version of ELVS. |
| Q: |
Can Home Health Claims be billed electronically? |
| A: |
The UB 92 itself can be submitted electronically, but the documentation required would need to be submitted on paper and then attached to the electronic claim. |
| Q: |
Can red ink be used on a 2 page EOMB? |
| A: |
Red ink or highlighters can no longer be used on any claim submission. Blue or black ink is acceptable. |
| Q: |
Will a provider be able to phone Provider Services and ask more than 5 questions? |
| A: |
Yes, but a common sense approach should be used. |
| Q: |
Will Prior Authorizations have a faster turnaround time? |
| A: |
The contractual limit is 5 days, with 10 days for those needing peer review. This applies to PA requests that do not require additional documentation from the Provider. |
| Q. |
Can I use the dental claim form to request a prior authorization? |
| A. |
No. Request for Prior authorization form 470-0829 must be used for Medicaid. The form and instructions can be found in the Dental Serivces Billing and Payment provider manual, Chapter F, pages 1- 6. Claim forms submitted as prior authorization requests to the IME are scanned and electronically processed for payment. Using the dental claim form for a prior approval request will result in a denied claim. |
