Remittance Advice Alerts/PROMISe Banner Pages
Subject: Date of Death Recovery
Banner Date: April 21, 2017
Cycle: 44
Provider type/Specialties: All (exception 07)

Subject: Date of Death Recovery
 
A recent audit uncovered beneficiary date of death discrepancies. A claims recovery was done to recoup monies paid in error due to the Department of Human Services eligibility records indicating beneficiaries being deceased prior to the dates of service being billed. These claim adjustments appearing on this remittance advice can be identified by ICN range 5217109227082 through 5217109228086.
 
If you feel the beneficiary date of death information was in error, please contact the county assistance office. If you need further assistance, call the appropriate toll free line for your provider type.
 
It is your responsibility to resubmit a correctly completed claim if you are due payment for services provided prior to the date of death.
 
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