Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

I received a Remittance Advice Details (RAD) code 037: Health Care Plan enrollee, capitated service not billable to Medi-Cal. What does it mean?

April 26, 2017advice code health care Plan RAD received remittance

0

Posted

I received a Remittance Advice Details (RAD) code 037: Health Care Plan enrollee, capitated service not billable to Medi-Cal. What does it mean?

2 Answers

0

Posted

The recipient is covered by another insurance plan. Providers must bill the other insurance plan first. Refer to MCP: Code Directory in the Part 1 provider manual. This section contains a listing of all Managed Care Health Plans, including their addresses and phone numbers.

0

Posted

A. The recipient is covered by another insurance plan. Providers must bill the other insurance plan first. Refer to MCP: Code Directory in the Part 1 provider manual. This section contains a listing of all Managed Care Health Plans, including their addresses and phone numbers.