DESCRIPTION OF THE ISSUE
The Medicaid claims
statuses states; the pay to provider is not eligible for direct payment.
CONCEPT
Any carrier should
possess EFT enhancement during enrollment process inorder to obtain any claim
status during verification.
SOLUTION
Upon verification with
the Provider enrollment @ Medicare, the EFT Authorization form was submitted.
Later the Billing Indicator was changed to "Yes" and the necessary
billing information was updated. Finally all the claims were processed and paid
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