Hospital Statistical Reports (HS&R) Requests

Dec. 10, 2009 | Author: Peach State

Requests for Hospital Statistical Reports (HS&R)

Dear Georgia Hospital Provider:

Peach State Health Plan (Peach State) is pleased to announce a new and more efficient process for responding to your requests for HS&R reports. The new process allows Peach State to track report request through a single entry point and increase the turnaround time for production and delivery of your reports. We will also provide you with an acknowledgement notice that confirms the receipt and processing of your request.

Effective immediately, you must adhere to the process outlined below when requesting HS&R reports. 

  • All requests for production of HS&R reports must be submitted via e-mail to the designated e-mail box or via certified mail to the address identified below.
  • Please note: Any request submitted directly to an individual’s attention will be returned to the requestor via email with instructions on how to submit the request via one of the methods identified below.
  • Acknowledgement notices will be provided via email within three (3) calendars days of receipt of your email request.
  • Acknowledgement notices will be provided in writing within five (5) calendar days of your written request.
  • Submit your e-mail request to:   

Submit your written request via Certified mail to:

Peach State Health Plan
VP of Compliance
3200 Highlands Parkway SE
Suite 300
Smyrna, GA 30082
ATTN:  Request for HS&R Report

Reminder: 

In order to generate your reports, you must provide the following information:    

a. Hospital Name
b. Hospital Tax ID Number
c. Provider Medicaid ID Number
d. Hospital fiscal year or period service dates
e. Hospital fiscal year or period for paid through dates
f. Contact Information – including email

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Hospital Statistical Reports (HS&R) Requests