Requests for override due to a provider file change must be requested within 180 days of a claim rejecting due to the discrepancy. Upon receipt of claims with an override request, HFS staff will verify that the claim(s) could not have been billed without the change to the provider file. Attach form HFS 1624, Override Request, stating the reason for the request to a paper claim form. The 180 day period shall begin with the date the enrollment, re-enrollment, or update was recorded on the provider file. New provider enrollment, provider re-enrollment, addition of a new specialty/sub-specialty, or addition of an alternate payee – applies only to those claims that could not be billed until the enrollment, re-enrollment, addition of a new specialty/sub-specialty, or payee addition was complete.Attach Form HFS1624, Override Request form, stating the reason for the override. Submit a paper HFS 2360, HFS 1443, HFS 2209, HFS 2210, or HFS 2211 with the EOMB attached showing the HIPAA compliant denial reason/remark codes. Medicare denied claims – subject to a timely filing deadline of 2 years from the date of service.Claims may be submitted electronically or on the paper HFS 3797 to the following address: ![]() Medicare crossovers (Medicare payable claims) – subject to a timely filing deadline of 2 years from the date of service.Timeliness for replacement claims, or a void & rebill transaction, is the same as that indicated below. ![]() The 12 month deadline extends to any exceptions that indicate a 180 day extension for all other providers.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |