The Provider
Information Call Center is available to assist providers with
questions regarding the status of claims, the resolution of problem
claims and educating them on billing procedures. This call center is
comprised of 2 Divisions: The Provider Relations Division and the
Medical Assistance Problem Resolution Division. Each Division has
knowledgeable, dedicated representatives who are available to answer
calls Mondays through Fridays from 8:00 a.m. to 5:00 p.m.
| WHAT DAY AND TIME CAN I CALL FOR CLAIM STATUS? |
|
PROVIDER RELATIONS DIVISION |
|
CLAIM TYPE |
DAY |
TIME |
- TELEPHONE
NUMBER
|
|
CMS 1500 |
MONDAY |
8:00 -
12:00 |
(410)
767-5503
1-800-445-1159 |
| COMMUNITY-BASED
SERVICES |
MONDAY |
12:00 -
5:00 |
(410)
767-5503
1-800-445-1159 |
| COMMUNITY-BASED
SERVICES |
TUESDAY |
8:00 -
12:00 |
(410)
767-5503
1-800-445-1159 |
|
DENTAL |
TUESDAY |
8:00 -
12:00 |
(410) 767-5503
1-800-445-1159 |
|
CMS 1500 |
TUESDAY |
8:00 -
5:00 |
(410) 767-5503
1-800-445-1159 |
|
CMS 1500 |
WEDNESDAY |
8:00 -
5:00 |
(410) 767-5503
1-800-445-1159 |
|
DENTAL/COMMUNITY BASED SERVICES |
THURSDAY |
8:00 -
5:00 |
(410) 767-5503
1-800-445-1159 |
|
CMS 1500 |
FRIDAY |
8:00 -
5:00 |
(410) 767-5503
1-800-445-1159 |
|
MEDICAL ASSISTANCE PROBLEM
RESOLUTION DIVISION |
|
CLAIM TYPE |
DAY |
TIME |
TELEPHONE NUMBER |
|
UBO4
HOSPITAL HOME HEALTH/DIALYSIS |
MONDAY |
12:30 - 5:00 |
(410) 767-5457 |
|
UBO4
LONG TERM CARE
HOME HEALTH/ DIALYSIS |
TUESDAY |
8:30 -
12:00 |
(410) 767-5457 |
|
UBO4
HOSPITAL |
TUESDAY |
12:00 - 5:00 |
(410) 767-5457
|
|
UB04
HOSPITAL |
WEDNESDAY |
8:30 -
5:00 |
(410) 767-5457
|
|
UB04
LONG TERM CARE
HOME HEALTH/ DIALYSIS |
THURSDAY |
8:30 -
5:00 |
(410)
767-5457 |
|
UB04
HOSPITAL |
FRIDAY |
8:30 -
5:00 |
(410)
767-5457 |
Note A: If you have
problems accessing the Provider Relation telephone numbers, you may
call the Supervisor of that Division at (410) 767-5363.
Note B: If you
have problems accessing the Medical Assistance Problem Resolution
numbers, you may call the Manager of that Division at 410-767-5397.
|
WHAT ADDITIONAL SERVICES ARE PROVIDED BY
THE PROVIDER RELATIONS
DIVISION? |
Audit
Trails
Check
Tracer Requests
Remittance
Advice Request
Employment
Verification (Providers Only)
|
WHAT FORMS AND INSTRUCTIONS MAY I OBTAIN?
|
Adjustment
Form DHMH 4518A
Problem
Claim Form DHMH 4519
Fee
Schedules
EVS
User’s Guide
Provider
Handbook
Claim
Instructions
MMIS
EOB Code List
|
HOW CAN I REQUEST A CANCELED CHECK?
|
You
may call (410) 767-5342 between the hours of 8:00 a.m. to 4:30 p.m.
|
WHAT INFORMATION DO I NEED TO OBTAIN A CANCELED CHECK?
|
Provider
number
Invoice
date
Invoice
number
Check
amount
Contact
person
Contact
telephone number
Federal
ID number or Social Security number
|
HOW CAN I REQUEST AN EXPLANATION OF BENEFITS (EOB)?
|
Providers enrolled in eMedicaid, may download their weekly EOB by
accessing the following website:
www.emdhealthchoice.org.
If you need information or assistance to enroll in eMedicaid, please
call 410-767-5340.
Providers may also call 410-767-5503 between the hours of 8:30 a.m.
and 5:00 p.m. to request a copy of an EOB.
|
WHAT INFORMATION DO I NEED TO OBTAIN AN EOB?
|
-
-
Provider
number
-
Invoice
date
-
Invoice
number
-
Contact
person
-
Contact
telephone number
|
WHAT DAY AND TIME CAN I MEET WITH PROVIDER RELATIONS SUPERVISOR?
|
-
- You may
call 410-767-5503 and ask to speak with the manager
or supervisor to set up an appointment.
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