Claims
The process used when the provider is requesting a copy of a non-adjustment letter but there is NOT one attached to the SF.
What is sending an adjustment form with the provider's fax number to have a letter loaded?
This is the year the Wright brothers made the first successful powered flight by man.
What is 1903?
_______ is the date of the phase 1 go live?
What is 11/1/19?
This is where a provider must send a letter if they choose not to participate with UHC Community Plan unilateral mailing.
What is:
UnitedHealthcare Physician Contracting
Network Contract Support - Fulfillment
780 Shiloh Rd
Plano, TX 75074
The regions included in Rollout Phase 2.
What are regions 1,3,5 and 6?
The name of the system used to review Provider Remittance Advices.
What is Docview?
This city is known as the Furniture Capitol of the World.
What is High Point?
These are the names of the 3 other companies contracted with NC Medicaid.
What is BCBS, AmeriHealth Caritas and WellCare?
UHC NC Medicaid is working to build eligibility for these groups.
What is:
Aged, Blind and Disabled
Temporary Assistance to Needy Families
Childrens Health Plan
Long Term Services and Support
Dual Special Needs Plans
The unique number used by the State to manage all provider enrollment.
What is the existing NPI number (National provider identification number?
The tab in facets used to look at a claim
What is the Medical Claims Tab?
This city is where the Krispy Kreme donut was founded.
What is Winston-Salem?
This is how the provider will get paid.
What is "pay as the state pays" that is generally 100% of Medicaid.
This is when enrollment opened for providers to sign up with UHC NC Medicaid.
What is July 2019?
Responsible for the credentialing process for NC Medicaid providers.
Who is the State?
The TAT for optuminsight claims after records are submitted
What is 30 calendar days to review the records and 15 additional calendar days to have the claim reprocessed?
This president was born in Mecklenburg County, NC.
Who is James K. Polk?
This is what the provider needs in order to participate with NC Medicaid.
What is their NPI number. Provider's who need to enroll can visit www.nctracks.nc.gov/content/public/providers/provider-enrollment.html
The talking points are located on this document.
What is word document, found in email?
The direct dial for NC Medicaid provider call center
What is 800-638-3302?
The NC Medicaid time filing for a claim.
What is 180 days from the date of service?
Babe Ruth hit his first professional home run in Fayetteville, NC on this date.
What is March 7, 1914?
This is the date phase 2 will go live.
What is 2/1/20?
What is Commercial and Medicare Advantage Plan?
the team that handles individual providers who are not part of a medical group.
What is the National contracting team?