When approval is granted to use delay reason code three, providers must resubmit the affected claims from their Workable Claims queue in EI Billing with the delay reason code 3 selected within 30 days of the notification. The claims will then be pended by Medicaid awaiting the following documentation be sent to the Department of Health within 60 days from the date of claims resubmission:
The correspondence can be sent to:New York State Department of HealthAttn: Medical Pended Claims1 Commerce Plaza, Room 1206Albany, NY 12260(Or) Fax: 518-457-0036
The correspondence can be sent to:
New York State Department of HealthAttn: Medical Pended Claims1 Commerce Plaza, Room 1206Albany, NY 12260
(Or) Fax: 518-457-0036
Note: After 60-days, if the documentation is not received, Medicaid will deny all claims CO-29 for timely filing.
Trouble logging in? Simply enter your email address OR username in order to reset your password.
For faster and more reliable delivery, add example@example.com to your trusted senders list in your email software.
A code was sent to the recovery email address. Please provide the 6-digit code.
A code can be retrieved from your authentication app. Please provide the 6-digit code.
An email was sent to your recovery email address. If you need further assistance, please contact your system admin.