News
Interim Claims
Date: 05/17/23
Thank you for your continued partnership with Ambetter from WellCare of New Jersey. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of a new policy we will be implementing effective on or after 07/01/2023.
Edit Name | Description | Lines of Business |
|---|---|---|
Interim Claims | Based on CMS guidelines, bill type ending in XX2 or XX3 will be denied when discharge status 30 is not present on the claim. | Marketplace |
We thank you for your commitment to the care and wellbeing of our members and to the communities we serve. Should you have any questions or concerns about this notification, please contact us at Provider Services 1-844-606-1926. Policies are posted on our website at https://ambetter.wellcarenewjersey.com