Potential Claim Adjustments May Impact July 25th Remittance Advices

July 10, 2012

MaineCare would like to inform Pharmacy Providers of potential claim adjustments that may be seen in the July 25th pharmacy remittances. MaineCare identified, through an audit process, that some claims may have been inadvertently tagged in the financial system.

To correct this issue, pharmacies will potentially see a reversal and re-submittal of these claims in question within the remittance. The reversal and re-submittal is just for internal identification of the claims and will still process as they originally paid when first submitted. The claims involved are a small subset and do not include all providers.

If you have any questions, please contact GHS at 1-800-420-9711.