in order for CHFS not to assess the credit balance against the MEMS Vendor. In the event the MEMS Vendor initiates suit against the provider to recover its loss, CHFS, if necessary, assigns its 404. CAB91 rights to the MEMS Vendor in pursuing the collection of such loss. Deposit any such collections outside the MEMS into the MEMS Vendor’s administrative account. Maintain a staffed claims adjustment unit to handle voids, credits, and debits in a timely manner. Adjustments should be 405. completed within 15 calendar days of submission, except in those cases where CHFS has approved a longer period. Provide CHFS with monthly report of credit balance and status of each account, including reasons for or documentation explaining the credit balance. The report 406. CAB93 should include those credit balances that have been satisfied during the previous month and a report of each effort made to collect the credit balance. Pursue actively all credit balances more than 30 days old, by 407. CAB94 procedures approved by CHFS. Submit the following credit balance documentation to CHFS: The written factual determination as to how the credit balance occurred, the amount of the credit balance, and when it occurred. 408. CAB95 Copies of the claim or claims, data sheets, payment records, canceled check or checks, copies of two demand letters, responses, and any other documentation relating to the credit balance. Take steps to recoup the credit balance amount from the 409. provider, but the collection process should occur outside the
in order for CHFS not to assess the credit balance against the MEMS Vendor. 404. CAB91 In the event the MEMS Vendor initiates suit against the provider to recover its loss, CHFS, if necessary, assigns its rights to the MEMS Vendor in pursuing the collection of such loss. Deposit any such collections outside the MEMS into the MEMS Vendor’s administrative account. 405. Maintain a staffed claims adjustment unit to handle voids, credits, and debits in a timely manner. Adjustments should be completed within 15 calendar days of submission, except in those cases where CHFS has approved a longer period. 406. CAB93 Provide CHFS with monthly report of credit balance and status of each account, including reasons for or documentation explaining the credit balance. The report should include those credit balances that have been satisfied during the previous month and a report of each effort made to collect the credit balance. 407. CAB94 Pursue actively all credit balances more than 30 days old, by procedures approved by CHFS. 408. CAB95 Submit the following credit balance documentation to CHFS: The written factual determination as to how the credit balance occurred, the amount of the credit balance, and when it occurred. Copies of the claim or claims, data sheets, payment records, canceled check or checks, copies of two demand letters, responses, and any other documentation relating to the credit balance. 409. Take steps to recoup the credit balance amount from the provider, but the collection process should occur outside the
Attachment_I_-_MEMS_Fiscal_Agent_Requirements[1].docx