Autoclosure
Providers that have previously received payment for a particular
resident but have recently received claim denials for Edit 2008
should contact the HP Provider Relations Help Desk at (317)
488-5094. Providers should not contact the Division of Aging (DA)
directly or send in a new Form 450B.
If the member's level of care (LOC) was discontinued as a result
of the discharge status code, the HP Provider Relations Help Desk
reviews the claims to determine which claim caused the autoclosure.
If an incorrect status code was used, the HP Provider Relations
Help Desk advises the provider of any action that should be taken
so that the LOC, when deemed appropriate, can be manually restored
by HP. To have claims considered for payment, two steps must
occur:
- The provider must adjust or replace paid claims that indicated
an incorrect discharge status code.
- The provider must call the HP Provider Relations Help Desk to
have the LOC updated.
For more information, please see BT200903.