In circumstances where claims deny and a corrected claim must be resubmitted, the resubmitted claims should be sent to the Molina Provider Relations Correspondence Unit with a request to reprocess the claim. Proof of timely filing and any required supporting documentation must be included. Should ...
In the proposed rule, CMS proposed to define the term “direct reimbursement” for purposes of the limiting definition—purportedly to “clarify” that the definition of COD “includes situations in which a claim for an all-inclusive payment identifies the drug plus the ...