Turn Around Time for Claims

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From:   Vickie Guarraci

Please be advised that since all of the MCOs are back logged with claims even the claims that CARE re-submits on your behalf will take between 30 – 45 days to adjudicate.  This is deemed to be their “expedited status” and this time frame is consistent among all of the MCOs.

Additionally, for claims that have been submitted through our office we ask that our Providers inform Angela if you have received payment.  Angela consistently follows up with claims that she has discussed with payers and it is important to focus on just the claims that were not paid.

All correspondence from CARE is confidential and proprietary and is strictly intended for the use of its Members.

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This content is for Provider Members only.
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