Electronic Billing Capacity. The CMHSP must be capable of accepting electronic billing for services billed to the CMHSP, or the CMHSP claims management agent. The CMHSP may require its providers to meet the same standard as a condition for payment. CMHSPs are expected to make progress in reducing duplicate data entry requirements across CMHSP and provider systems.
Electronic Billing Capacity. The PIHP must be capable of accepting HIPAA compliant electronic billing for services billed to the PIHP, or the PIHP claims management agent, as stipulated in the Michigan Medicaid Provider Manual. The PIHP may require its providers to meet the same standard as a condition for payment.
Electronic Billing Capacity. 1. Contractor must offer its providers the option of submitting and receiving claims information through an EDI that allows for automated processing and adjudication of claims. EDI processing must be offered as an alternative to the filing of paper claims. Electronic claims must use HIPAA-compliant electronic formats.
Electronic Billing Capacity. Provider must meet the HIPAA and FSSA guidelines and requirements for electronic billing capacity. Provider must bill Plan using the same format and coding instructions required for the Medicaid Fee-For-Service programs according to Medicaid Policy. Notwithstanding the foregoing, Plan may require additional documentation, such as medical records, to justify the level of care provided.
