How am I notified about claims that cannot be repriced?
Claims that cannot be repriced can be found on the sendback portion of your weekly Provider Claim Activity Report. A paper claim may also be returned to your office with a cover sheet indicating the reason for no repricing. You will also be notified of a claim that could not be repriced when using the MedCost Claim Repricing Inquiry Product. At times you can respond to MedCost on information needed for your non-repriced claim via the MedCost Claim Repricing Inquiry Product.
Related Questions
- If a broker-dealer holds an open order in an NMS stock that must be repriced because of a corporate action (e.g., a stock dividend), may the broker-dealer round the adjusted price to a permissible increment?
- Have stock options been repriced during the past three years without shareholder approval?
- Once I’ve submitted a claim to MedCost how can I be sure it’s been received and repriced?
