• Provider Secure Web Portal Training

    Peach State Health Plan will be offering webinar training sessions to demonstrate many of the exciting features available on the Peach State 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 Submission Submitting…

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  • Georgia Medicaid NPI Registration Requirement

    REMINDER: Recently, Peach State Health Plan and US Script began editing pharmacy claims based on the prescribers NPI. Georgia Medicaid rules state that prescribers must be enrolled with the state either as a participating provider or as a non-participating ordering, prescribing or referring (OPR) provider. Any prescriptions written by a provider who does not appear…

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  • New Seventh Grade Vaccination Requirements

    Dear Pediatric and Family Medicine Provider: Effective July 1, 2014, all students born on or after January 1, 2002 and entering, advancing or transferring into 7th grade in Georgia will need proof of an adolescent pertussis (whooping cough), booster (Tdap) and an adolescent meningococcal vaccination (MCV4). The State of Georgia’s immunization requirements for children attending…

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