DESCRIPTION OF THE ISSUE
The Medicaid claims statuses states; the pay to provider is not eligible for direct payment.
CONCEPT
Any carrier should possess EFT enhancement during enrollment process inorder to obtain any claim status during verification.
SOLUTION
Upon verification with the Provider enrollment @ Medicare, the EFT Authorization form was submitted. Later the Billing Indicator was changed to “Yes” and the necessary billing information was updated. Finally all the claims were processed and paid
