FQHC Crossover Claims and T1015 HCPC Code

April 12, 2011

For claims that crossover from Medicare, please note that MaineCare may deny or pay the claim at zero if the T1015 HCPC code (Clinic Visit/encounter all inclusive) is not used on the claim. Once denied, you can submit a new claim to include this code. If the claim does not deny, but pays at zero, you may adjust the claim to include the T1015 and submit to MaineCare.