The Medicaid 835 Remittance Details report allows providers to view remittance information for their Medicaid claims.
To access this report, click "Reports" in the EIBilling.com menu, then drop down to click "Mediciad 835 Remittance Details."
The report includes a drop-down menu that allows providers to select the check or trace number they would like to search for. This also lists the date beginning the week the claims were submitted, as well as the Medicaid payment cycle number. Once a trace number has been selected, click "Run".
Next to the drop down menu, there is a link to the Medicaid payment
cycle calendar for providers to use as reference for the cycle dates,
check print dates, and check release dates.
After the trace number has been run, providers should see a table with their Medicaid claim remittance details listed. This lists patient details, including the patient control number, service dates, and the TCN for that claim, followed by the status of the claim (denied or paid), and Medicaid CAR and Remark codes, as well as the Medicaid description of these codes.
There is a Medicaid key to CAR and Remark codes available on
www.eMedNY.org, accessible by clicking "eMedNY HIPAA Support" in the
menu, then dropping down to click "Crosswalks." There are two links to
Edit Mapping for 835 files that include this information.
Click here for a link to the Medicaid 835 Edit Mapping.
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Please note that the IFSA has been receiving continued common
rejections to Medicaid claims. We are working with Medicaid and OHIP to
correct these issues and resubmit claims. This requires no action on the part of the provider at this time.This report can be exported to Excel by clicking "Excel" at the bottom of the page.