Providers who are contracted with Mercy Care can use electronic billing software. To include supporting documentation, such as members’ medical records, clearly label and send to the Claims Department at the correct address. Submit original copies of claims electronically or through the mail (do NOT fax) This could result in the claim being denied for untimely filing. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing.Complete ALL required fields, and include additional documentation when necessary. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention.
#Timely filing how to#
Instructions on how to fill out the claim forms can be found at the following AHCCCS website addresses: If you have questions regarding your claims for DentaQuest, you can contact them directly at 84. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions.Įlectronic submission*: Through Electronic Clearing HouseĭentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Hospital inpatient, outpatient, skilled nursing and emergency room servicesĭental services that are considered medical services (oral surgery, anesthesiology) Select the appropriate claim form (refer to table below):
Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information.
#Timely filing manual#
Refer to our Provider Manual for more detailed information.Ĭontracted providers can find reimbursement information in their Mercy Care contracts. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members. It is important to note that balance billing members is prohibited under all Mercy Care health plans.ĪHCCCS (Arizona Health Care Cost Containment System) is Arizona’s Medicaid Managed Care Program. Our updated Mercy Care Claims Processing Manual is now available to assist you with any claims or billing questions you may have.
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