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Future Secondary Reimbursement Changes for Claim Processing DHHS & Molina HealthCare Collaboration. Summary of COB work efforts in progress:. Total TR (system defects) = 4 Total CR (change requests) = 4 . Specific data by TR and CR:. Provider types impacted Tracking number
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Future Secondary Reimbursement Changes for Claim Processing DHHS & Molina HealthCare Collaboration Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
Summary of COB work efforts in progress: Total TR (system defects) = 4 Total CR (change requests) = 4 Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
Specific data by TR and CR: • Provider types impacted • Tracking number • Change type & description • Estimated financial impact • Estimated date of completion • Communication plan for provider community as work is completed Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
TRHospital & Hospital Based Physicians affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
TRAll provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
TRDental Providers affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
TRAll provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
CR All provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
CRAll provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
CRAll provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
CRAll provider types affected Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings
Provider Notification process • As each TR or CR is completed, a Provider Portal ListServ will be drafted for approval by the Molina/DHHS communication committee prior to adjustments being made: • TR/CR number & brief description • The date/schedule (may be completed over several weeks based on adjustment unit capacity) • Adjustment process options if determined adjustments are going to be required Confidential Draft: January 2013 PAG TAG & Hospital Association Meetings