We're working to resolve Medicaid claims being rejected incorrectly

We’re experiencing an issue with Medicaid claims front-end rejecting for “Referring/Ordering/Attending is not Enrollment Type 1/Individual” when they shouldn’t. This issue started on December 18 and appears to be impacting providers registered in CHAMPS as “Individual / Sole Proprietor”.

Our teams are working diligently to resolve this issue. Until then, please don’t rebill.

Our goal is to reprocess any impacted claims after we’ve fixed the root cause of the issue. If we’re unable to reprocess claims, we’ll publish an update with next steps.

We value your partnership and the care you provide our members, and we sincerely apologize for any inconvenience this has caused. Thank you for your patience and understanding.