159- Article VII Payment Clarification

May 15, 2014

This notification serves to remind providers that the Article VII payment they will be receiving is based on the claim submission date and not the service date. Applicable claims are those submitted to third-party payers, including Medicaid, from 4/1/13 to 6/30/13, for which no payment or determination has been made – not claims for which the date of service is within this period.

If you have any questions, please call the PCG Customer Services Center at 1-866-315-3747.