![]() ![]() ![]() If a situation involves private insurance, that TPL EOB must also be submitted with the claim, however, it does not replace the EOB required from either the Shared Plan or Molina in providing proof of filing. All outstanding claims over 1 year old must be submitted with either the Shared Plan or Molina EOB indicating proof of timely filing. A private insurance EOB does not support proof of timely filing with Medicaid. Molina has received Shared Plan claims where only the private insurance EOB is attached and no Shared Plan EOB or Molina EOB is present. Register showing the original claim was filed timely. Shared Plan claims received by Molina after the initial one year timely filing limit cannot be processed unless the provider is able to furnish the Shared Plans EOB or Payment RESUBMISSION OF PAPER CLAIMS TO MOLINA FOR BAYOU HEALTH Medicaid provider in order to be reimbursed for services rendered. Provided services to a Louisiana Medicaid recipient, you must enroll as a Louisiana Provider not enrolled in Louisiana Medicaid (whether in-or out-of-state) and you have Louisiana Medicaid Provider number is on the claims before mailing. If you are an enrolled provider, please ensure the Providers must beĮnrolled in Louisiana Medicaid and receive a 7-digit provider number in order to bill Each week, Molina rejects and returns paper claims because the 7-digit Louisiana Medicaid provider number is not present on the claim form in the appropriate field. Louisiana Medicaid's 7-digit provider number is required on all claim forms. All information on the claim form must be clear and readable in order for the claim to be processed correctly.ĪTTENTION ALL PROVIDERS SUBMITTING FEE FOR SERVICE Please use either a 'tape-type' product or mark through the error and rewrite the corrected information. Therefore, we request that providers not use liquid correction products to makeĬorrections on claims. (2) Pages that are stuck together cause scanning equipment to jam. (1) The pages are not readable after being pulled apart and Liquid paper for corrections is causing the pages of the claims to stick together. Molina is experiencing greater volumes of hard copy claims in which providers use of Regarding any of the following messages, please contact Molina Medicaid Participation may be verified in Appendix C, available at Which participate in the Federal Rebate Program will be covered by the Medicaid Of a drug product, please contact the PBM help desk at 1-80. ![]()
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