• Georgia Ordering, Prescribing or Referring (OPR) Ordering, Prescribing and Referring Provider NPI Requirement Change

    Effective: December 1, 2014 RE: Georgia Ordering, Prescribing or Referring (OPR) Provider Notice & Claims Processing Impact Dear Peach State Health Plan Provider, The Affordable Care Act (ACA) now requires physicians or other eligible practitioners to enroll in the Medicaid program to order, prescribe, and refer items or services for Medicaid beneficiaries. The enrollment requirement…

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  • Corrected Claim Submission Process Change

    Peach State Health Plan is changing our policy as it relates to the submission of corrected claims. As a reminder, effective October 1, 2014, Peach State will only accept the new version of the CMS-1500 claim form, version 02/12. Additionally, both the CMS-1500 and UB-04 claim forms should be free of handwritten verbiage. Effective December…

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  • Secure Portal Webinar Schedule

    Peach State Health Plan will be offering webinar training sessions to demonstrate many of the exciting features available on the Peach State Health Plan provider secure web portal. Topics covered in secure portal training include: Registering for the provider secure portal Submitting A Prior-Authorization request Checking Member Eligibility Claim Submission Corrected Claim and COB Claim…

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