• 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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  • Important Reminder: Co-Payments for PeachCare for Kids ® Members

    Dear Provider: Effective for services provided on and after April 1, 2012 and subject to payment at fee-for-service rates, the Department of Community Health (DCH) implemented co-payments for PeachCare for Kids ® members six (6) years of age and older. These co-payments were consistent with CMS-approved Medicaid co-payments and co-payments exemptions for adults. Peach State…

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