Footer 03/15/16 Tamara Table of Corrected Month of the Footer Manuel Contents Information to MARCH 2016 Version 2.5. Tamara Appendix O Master File Exchange Added the following file to the 03/21/16 Manuel Schedule Inbound File Exchange listing: Tamara Appendix O Master File Exchange Added the following file to the 03/21/16 Manuel Schedule Outbound File Exchange listing: and the Tamara Table of Footer Corrected Month of the Footer 04/04/16 Manuel Contents Information to APRIL 2016 Version 2.5. Tamara Appendix E Encounter Edit Codes Deleted the following 04/04/16 Manuel Repairable code 556. Denial” Appendix E Encounter Edit Codes 04/04/16 Tamara Added the following code to the Manuel Table: 556. “Educational” Tamara Section 2 Batch Submissions Updated/Clarified verbiage to 04/12/16 Manuel paragraphs. Tamara Section 12 Magellan CSoC Added the business processes for 04/21/16 Manuel Quarterly Retro Process the Magellan CSoC Qtrly. Retro for PMPM Adjustments Process for PMPM Adjustments Tamara Appendix C SYSTEM GENERATED Added the REF=Reference 04/26/16 Manuel REPORTS - Subsection: Information (1st occurrence) and 820 File (FI to PIHP) the REF=Reference Information (2nd occurrence used only for – duplicate recipient recoveries) Tamara Section 13 PMPM Payment Added criteria/business process 04/27/16 Manuel Recovery for Duplicate for PMPM Payment Recoveries Recipient Medicaid IDs for Duplicate Recipient Medicaid (Magellan) IDs. Appendix R 04/27/16 Tamara Added the Manuel FILE FILE LAYOUT LAYOUT Tamara Appendix O Master File Exchange Added the following file and file 04/27/16 Manuel Schedule information to the Outbound File Exchange listing: Recipient Voided IDs.txt file.
Tamara Manuel Table of Contents Footer Corrected Month of the Footer Information to MARCH 2016 Version 2.5. 03/15/16 Tamara Manuel Appendix O Master File Exchange Schedule Added the following file to the Inbound File Exchange listing: 03/21/16 Tamara Manuel Appendix O Master File Exchange Schedule Added the following file to the Outbound File Exchange listing: and the 03/21/16 Tamara Manuel Table of Contents Footer Corrected Month of the Footer Information to APRIL 2016 Version 2.5. 04/04/16 Tamara Manuel Appendix E Encounter Edit Codes Deleted the following Denial” code 556. 04/04/16 Tamara Manuel Appendix E Encounter Edit Codes Added the following code to the “Educational” Table: 556. 04/04/16 Tamara Manuel Section 2 Batch Submissions Updated/Clarified verbiage to paragraphs. 04/12/16 Tamara Manuel Section 12 Magellan CSoC Quarterly Retro Process for PMPM Adjustments Added the business processes for the Magellan CSoC Qtrly. Retro Process for PMPM Adjustments 04/21/16 Tamara Manuel Appendix C SYSTEM GENERATED REPORTS - Subsection: 820 File (FI to PIHP) Added the REF=Reference Information (1st occurrence) and the REF=Reference Information (2nd occurrence – used only for duplicate recipient recoveries) 04/26/16 Tamara Manuel Section 13 PMPM Payment Recovery for Duplicate Recipient Medicaid IDs (Magellan) Added criteria/business process for PMPM Payment Recoveries for Duplicate Recipient Medicaid IDs. 04/27/16 Tamara Manuel Appendix R FILE LAYOUT Added the FILE LAYOUT 04/27/16 Tamara Manuel Appendix O Master File Exchange Schedule Added the following file and file information to the Outbound File Exchange listing: Recipient Voided IDs.txt file. 04/27/16 Repairable
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx