News

Attention Members:

Please remember to send an email to service@access-advantage.com after importing claims to Zirmed. You will receive a confirmation email with the following response: “Access Advantage has received your claims submission request. We are currently reviewing coding specifications to assure clean claim submission to payer. Please allow 24-48 hours for AA review. Please check ZirMed in 48 hours (or two business days) to verify claims submission to payer and review that your claims upload is complete. If additional information is needed prior to submission we will be in contact with you.”

Medical Mutual Room and Board Revenue Code

Per Medical Mutual of Ohio, room and board must reported with a Revenue Code 120. Claims with a Revenue Code 110 are likely to be denied by the payer.

Molina Healthcare has a new vendor, Secure Transportation, which will take over services currently provided by Logisticare for Medicaid members on November 1, 2015. MyCare Ohio and Medicare members will start services on January 1, 2016.

Secure Transportation will contract with medical transportation providers throughout Ohio to provide quality “door-to-door” transportation to our members.

November 1 Changes to Facility Transportation for United Healthcare MyCare Members

UHC MyCare Ohio transportation for United Healthcare MyCare Ohio members residing in your facility will no longer be handled by Cooperative Health Partners (CHP). UHC contracted facilities will now be able to arrange transportation through their contracted provider or provider of choice. Transportation providers will then bill UHC directly for reimbursement of those services. This includes MyCare Ohio member hospital discharges, trips from a SNF to physician, recurring trips from SNF to dialysis or chemo, and facility to facility transports.

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