TAD Deadline
Effective
June 9, 2005 at 12 Noon, Unisys will no longer accept any Long Term
Care claims billed on a TAD.
Any TADS received by Unisys after June 09, 2005 will be
returned to the provider. The last Unisys generated TADS will be for
May, 2005 dates of service. This billing change also applies to billing
for prior dates of service. With only three months remaining
before this deadline, it is imperative that you begin submitting claims
electronically using the mandated X12 837I format or hardcopy using the UB-92
claim form prior to the effective date to prevent delays in
payment. Please contact Unisys EDI for assistance with electronic billing
at 225-216-6318 and Provider Relations for assistance with UB-92 billing at (800)
473-2783 or (225) 924-5040.
Currently,
Medicaid accepts the 1990, 1994 and 2002 American Dental Association (ADA) Claim
Forms for prior authorization and reimbursement of dental hardcopy claims.
Effective January 1, 2005, the 2002 American
Dental Association Claim Form and the 2002, 2004 American Dental Association
Claim Form will become the only hardcopy dental claim forms accepted for
Medicaid prior authorization and reimbursement of services provided under the
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental, Expanded
Dental Services for Pregnant Women (EDSPW) and Adult Denture Programs regardless
of the date of service.