Can a provider continue to submit claims electronically?
A. Providers may not submit claims electronically if the procedure codes or all services are subject to a post-service, prepayment audit (PPM Audit). Claims for services subject to the audit must be submitted on an original paper billing form. Medi-Cal denies electronic claims for services subject to a PPM Audit. Providers may continue to submit claims electronically if the specific procedure codes or dates of service are not subject to the PPM Audit.
