Check out our newly updated Medicaid billing webpage

Billing Medicaid claims can be confusing, even frustrating. We know.

Over the past several months, we’ve shared tips and guidance on how to effectively complete claims for our Medicaid members – touching specifically on Medicaid edits 21007 and 5169.

Now, that advice is available in the Medicaid billing page in our Provider Manual. Bookmark the page in your browser for quick access to Medicaid claim requirements, including:

  • Which data elements are required in Loops 2320 and 2330A
  • What provider types are allowable by claim type
  • And more

Visit the Medicaid billing page