Claims

For Providers

Claims

CCP MMA Medicaid Claims Submission Information

Claims should be submitted promptly after the service is provided. Providers shall have six months from the date of service to submit clean claims in accordance with the Florida Medicaid Program. As a guide, further detail on clean claims submittal can be accessed in the Medicaid Provider Reimbursement handbooks, CMS-1500 or UB-04. All Medicaid handbooks can be found at http://mymedicaid-florida.com.

CCP understands that the use of electronic healthcare transactions is of great value to the provider community.  CCP, along with its strategic partner Health-e-Web, Inc. (HeW), are working together to promote the adoption and use of electronic health care transactions including claim transactions and electronic remittance advice, so that your organization can take better advantage of the savings available through HIPAA.

If you are currently submitting paper claims to CCP, or using a clearinghouse that is unable or unwilling to submit claims electronically to CCP, you have options available to you to that will allow you to send electronic claims to CCP and start saving time and money today!

CCP and HeW have partnered to offer a free claims option that allows you to easily conduct business electronically with CCP.

  • This option enables providers to conduct business only with CCP using the following methods.  These are entirely sponsored by CCP, at no cost to you:
  • Enter and submit claims, receive electronic remittance advice, and exchange other electronic transactions using a browser-based application over the Internet.
    Providers may access the HeW portal at https://hewn12prdweb.hewedi.com.
  • Directly transmit HIPAA compliant ANSI transactions over a secure direct connection.

To learn more about these options, visit www.hewedi.com or contact HeW at 1-877-565-5457, option 1.  We know you will enjoy industry leading products and services that will bring value to your organization!

CCP MMA Medicaid Electronic Claims Clearing House HeW – Payer ID 59065 – http://support.availity.com/articles/FAQ/Florida-Payer-EDI-Enrollment

Paper claims that require attachments or claim appeals should be mailed to:  CCP MMA Claims Department, P.O. Box 841309, Pembroke Pines, FL  33084.

Inquiries regarding claims payment may be directed to the CCP’s Customer Service Department by calling 1-866-899-4828.

Third Party Liability – It is the provider’s responsibility to notify CCP if an enrollee has coverage in addition to CCP.

 

CMS KidCareT21 / CMS T19 MMA Medicaid Claims Submission Information

CMS Kidcare T21 claims for Dates of Service post February 1, 2014 are to be sent to MED3000 (CMS contracted Third Party Administrator (see information below).

CMS T19 MMA Medicaid claims for Dates of Service post August 1, 2014 are to be sent to MED3000 (CMS contracted Third Party Administrator (see information below).

 

MED 3000 Claims Submission Information

Electronic Claims:

CMS KidCare T21 Claims: Availity M3FL0014 / Emdeon EM205

CMS MMA T19 Medicaid Claims: Availity M3FL0012 / Emdeon EM843

 

Paper Claims:

CMS KidCare T21 Claims:

MED3000 CMS Title XXI

P.O. Box 981733

El Paso, TX  79998-1733

 

CMS MMA T19 Medicaid Claims:

CMSN MMA Specialty Plan Title XIX

P.O. Box 981648

El Paso, TX  79998-1648

 

Inquiries regarding claims payment may be directed to MED3000 by calling 1-800-664-0146.