HealthPAS Skip to main content
Accessibility Enable Accessibility
Health PAS-OnLine

 

Molina
Go Search
     
 
Idaho Medicaid Health PAS OnLine > Announcements > Ordering, Referring, and Prescribing (ORP) -Claims are NOT Denying Now  
Announcements - Ordering, Referring, and Prescribing (ORP)...

Title

Ordering, Referring, and Prescribing (ORP) -Claims are NOT Denying Now 

Body

The ORP edits are currently in WARN status, meaning no claims are currently being denied; however, once provider outreach has been completed we will turn the edits to DENY.  At that time, if the ORP provider’s name and the National Provider Identifier (NPI) are not listed on a claim, or if the ORP provider is not enrolled with Idaho Medicaid, the billing provider will not receive reimbursement. We do not yet have a firm date on switching the edit to deny. We want to be sure that we have taken the time to explain to the affected providers and work out any problems they may be having.  We will post an announcement at least one week before the edits are changed and claims begin to deny.

Expires

5/31/2017 

Date Posted

5/11/2017 
Attachments
Content Type: Announcement
Created at 5/11/2017 8:49 AM  by hopemccain 
Last modified at 5/11/2017 8:49 AM  by hopemccain 
Idaho.gov | Site Policies | Copyright Notice | Privacy Statement