MaineCare Provider Services
- Claims, Billing, and Enrollment
- PCCM
- Policies and Rules
- Demonstration Waivers
- Pain Management Program
- Addiction Services
- Children's Services/EPSDT
- State Innovation Models (SIM) Initiative
News & Groups
Family Planning Denied Claims
January 8, 2013
Family Planning Denied Claims
Some claims for Family Planning providers have denied inappropriately for the following reasons:
MIHMS Edit 330- “Invalid Diagnosis.” CARC 11 – “The diagnosis is inconsistent with the procedure. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.”
The system has been updated and claims are being reprocessed. No provider action is needed.
