Claims to re-submit

June 30, 2011

The following list describes claims that were handled incorrectly. Providers need to re-submit these claims for payment.

  • Insulin syringes. Claims for procedure code A4232, with or without the NU modifier, were paid incorrectly. The correct rate is $3.03. Providers need to submit adjustments for these claims.

  • Hospice services for members under age 21. An error in the classification system did not allow members to receive both curative and hospice services.

For questions about billing and claims, please call Provider Services at 1-866-690-5585.