FW: Guidance for Providers Experiencing Payment Issues
Sent on Behalf of NC Medicaid, Division of Health Benefits
During the transition period after the NC Medicaid Managed Care launch, providers may experience payment issues from an increase in claim denials. Providers should take the following actions to reduce claim denials and payment delays:
When a claim gets denied, review the denial reason, the information on the claim, the health plan guidance documents, and the Medicaid and NC Health Choice clinical coverage policies to identify and correct provider billing errors.