CI-PSR Spreadsheet
What is the contact phone number for Stockton PACE?
650-336-0300
What system do we utilize to verify the member's DOB and to check their eligibility?
PACElogic
What is our claims mailing address?
PO Box 21631 Eagan, MN 55121
How do we know if there are notes on the claim?
There will be a red notebook in the upper left hand corner of the claim adjudicator entry screen (second screen).
What does it mean in EZCap if the status shows “9”?
That the claim has been processed - either paid or denied
What is TruCare PACE's mailing address?
PO Box 1024 Lafayette, CO 80026
Where can we find our Client information? (Authorization phone number, appeal phone number, timely filing, claim system utilized)
CI-PSR Spreadsheet
What is our Customer Support phone number?
866-386-4447
How are payments issued from Plexis?
Paper Check
Where do you click to add a note to EZCap?
Notes icon at the top - pencil and piece of paper icon
What client is the abbreviation "SWM" for?
PACE SW Michigan
What are our two claim systems?
EZCap & Plexis
What are the main two different types of claim forms?
UB04 & HCFA/CMS 1500
Where do we find the payables batch number?
What is the cross reference ID for claim # 23062903920125000012?
HE231800101407
What claim system does CHP utilize?
Plexis
SDS
How do we know if a claim has been billed as a corrected claim?
The #7 will be billed either in the Type of Bill (UB) or in box 22 (1500)
Where would you find if the member is dual enrolled?
By selecting the 3 dots next to their name, select their name on the next window and to the right hand side it would list it.
Is claim # 23062403920125000080 processed INN or OON?
INN
What address would University Care Services send their claims to for PSP?
6133 The Plaza, Charlotte, NC 28215
What are the two payments systems for EZCap?
Zelis & Payspan
What are the 3 main folders we utilize in G Drive
Denials/Rejections, Peak Sharing, Provider Relations
How do you pull an EOP?
Open to the third screen, Reports - Standard - Claim Processing - Claim Voucher Statement - Put in payables batch number and vendor ID - Print
What payment system is used for claim # 23062403920125000080?
Payspan