Jun 19, 2011 | Medical billing basics
19 – 20 years Those Medicaid members nineteen (19) through twenty (20) years of age may receive vaccines through their health care provider. SHP will reimburse the cost of the vaccine and the administration fee as per the provider’s contract. For eligible members ages...
Jun 19, 2011 | Medical billing basics
A medical billing business involves insurance claims filing and collection. A patient files a claim to their insurance company, you bill the procedures done on a patient to the insurance company, and you collect the payment from them. You have probably...
Jun 16, 2011 | Medical billing basics
Immunizations Providers are encouraged to review valuable immunization information on the Department of Health and Human Services, Center for Disease Control and Preventions website, which provides recommended vaccines and schedules for children at...
Jun 14, 2011 | Medical billing basics
CHCUP (Child Health Check-up) is a Medicaid child health program of early and periodic screening, diagnosis and treatment services for beneficiaries under the age of 21. It used to be called EPSDT. All children of these ages who are SHP members should receive these...
Jun 12, 2011 | Medical billing basics
Primary Care Physician (PCP) Responsibilities The following is a summary of responsibilities that are required of PCP’s providing services to Simply Healthcare Plans members: * Ensure 24/7/365 availability as outlined in the Access to Care section noted above *...
Jun 10, 2011 | Medical billing basics
Newborn Enrollment Upon a SHP’s member delivery of a baby, the newborn is not automatically enrolled with the Plan. SHP will create a temporary newborn record within the system and work with the Department of Children and Families (DCF) to have an activation form...
