MA Billing

OCDEL Nurse-Family Partnership MA Billing Webinar

QUESTIONS CAN BE DIRECTED TO ra-pwpahomevisiting@pa.gov, please use NFP MA Billing – (Site Name) as the subject when emailing

Download a pdf of the webinar PowerPoint here: OCDEL-NFP Ordering Referring Prescribing Provider Claim Training

Download the PowerPoint with audio here: OCDEL-NFP Ordering Referring Prescribing Provider Claim Training

QUESTIONS CAN BE DIRECTED TO: ra-pwpahomevisiting@pa.gov, please use NFP MA Billing – (Site Name) as the subject when emailing

Error Codes 
2128 – Do not worry about this error. This is a new pay and list edit enabled for the upcoming CHC deployment. When this set essentially it means that the service paid (correctly), because it is carved out of the managed care delivery system. The managed care group requested this to track claims bypassing the carve out table.

NPI/MA Number
Question: It appears as if the NPI number is needed but not the Provider’s MA Number as that can be determined by looking in the state system right?

Answer: If the provider is billing using the PROMISe Internet – then the data required is two-part. 1)Provider License OR Provider’s MA Number and 2) Provider’s NPI. We recommend use of the Provider License as opposed to the Provider’s MA Number because the License is able to be searched on public sites and the MA Number is not.