Remittance Advice Alerts/PROMISe Banner Pages
Subject: Reprocessing of Fee-for-Service Claims for Community Health Choices (CHC) Recipients
Banner Date: 11/2/2018
Cycle: 19
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 March 14, 2018 through September 30, 2018.
 
If one of more of your claims were affected, the adjusted claim can be identified by the following ICN range:
 
ICN Range: 5218305403582 to 5218305415602
 
Claims for the affected services should be filed with the recipient’s CHC plan.
 
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