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Part A Payment Delays – Updated August 19, 2008 (Applies to Colorado, New Mexico and Texas providers) - It was reported yesterday that TrailBlazer had identified an issue regarding approximately 2,000 claims that are not currently available in FISS. Due to the unavailability of these claims, HIGLAS was not able to complete the financial cycle on Friday, August 15, 2008, causing a delay in payments for some providers. A resolution has not been identified; therefore, the financial cycle was not completed on Monday, August 18. This will cause a delay in payments for all providers.
Expedite Part B Claims Processing – Respond to ADS Letters Quickly - Automated Development System (ADS) letters, or “yellow” letters, are sent to providers when it is necessary to request additional information to complete the processing of a claim. Providers are strongly urged to respond with the requested information as quickly as possible, reducing further delay in claims processing. Delay in responding to these letters can result in claims denial, rejection or delay in payment.
TrailBlazer Commitment to Services and Improvements – TrailBlazer recognizes that as a result of the J4 MAC transition and NPI implementation, providers may have experienced less than satisfactory service in some areas. During this high inquiry volume period, TrailBlazer is working diligently to improve its service level to the provider community with respect to customer service, enrollment and payment processes and help reduce the ongoing high volume inquiry impact caused by the NPI implementation on May 23, 2008. To help accomplish this goal, TrailBlazer has recently transitioned all pending Medicare Part B provider enrollment workloads to its satellite office under the direction of new management staff. In addition, we have established a close collaboration between provider enrollment and customer service management to identify and implement new processes and service improvements, such as transferring the provider enrollment toll-free service responsibility to the customer service areas where additional resources and expertise are available to assist with the heavy volume of enrollment inquiries. Additional toll-free line capabilities have been requested and will be available soon to decrease provider enrollment call waiting time. http://www.trailblazerhealth.com/Tools/Notices.aspx?DomainID=1&ID=12611
We commit to continuing to share ongoing TrailBlazer plans for improvements as we address your issues, from customer service and EDI support to enrollment and payment timeliness. We welcome your feedback as we work together to ensure we continue to provide the level of service providers have come to expect from TrailBlazer. Please send your feedback to provider.feedback@trailblazerhealth.com
Avoid Receiving Development Letters Because of Multiple PTANs Linked to One NPI - To help reduce the number of development letters providers are receiving because of multiple Provider Transaction Access Numbers (PTANs) linked to one National Provider Identifier (NPI), please refer to the following notice for claims submission information: http://www.trailblazerhealth.com/Tools/Notices.aspx?DomainID=1&id=12514
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