Remittance Advice Alerts/PROMISe Banner Pages

Subject: Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients
Banner Date: June 29, 2018 to July 3, 2018
Cycle: 01
Provider Type/Specialty: All

Subject: Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients

The Department of Human Services (DHS) identified a claim processing error where certain Fee-for-Service payments were issued for recipients having CHC Eligibility.

This condition occurred on specific claims with processing dates from January 1, 2018 through March 13, 2018.

If one or more of your claims were affected, the adjusted claim can be identified by the following ICN range: 5218180387082 to 5218180391590

Questions related to your remittance advice, including the adjustment mentioned above, should be directed to Provider Inquiry at 1-800-537-8862, Monday through Friday, 8:00 am to 4:30 pm.

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