Please note:
This is an update related to earlier communications, PCG Transitioning to New Insurance
Claims Clearinghouse
(November 2) and UPDATE: Transition to Trizetto Claims
Clearinghouse
(November 18).
Our previous
communication stated that PCG will complete and auto-sign insurance payer forms
on behalf of Early Intervention Program (EIP) Billing Providers for the transition
to Trizetto. PCG has learned that certain payers do not allow auto-signing of
enrollment forms. For these payers, EIP Billing Providers will need to follow one
of two processes as described below:
For the
payers listed below, EIP Billing Providers will still receive pre-populated forms
for signature from PCG to enroll.
These forms should be signed by the Billing Provider and returned to NYSFAEIP@pcgus.com.
Payers Requiring EIP Billing Providers
signature on forms:
- Affinity
- Emblem Health
- GHI
- HIP
- Independent Health
- United Healthcare
For the
payers listed below, EIP Billing Providers will need to complete an online
enrollment. PCG will
send instructions for completing online enrollments to EIP Billing Providers
that bill the payers listed.
Payers
Requiring Online Enrollment by EIP Billing Providers:
- Aetna
- Blue Cross and Blue Shield
- Excellus
- Healthnow
- Optum
- Oxford
Please note that
EIP Billing Providers may also receive correspondence from payers for which PCG
has submitted signed forms on their behalf. If you receive correspondence –
such as an approval notice – directly from one of these payers, please inform
PCG by emailing NYSFAEIP@pcgus.com. If you have any questions, please contact
the PCG Customer Service Call Center at (866) 315-3747.
Article ID: 456, Created On: 12/3/2021, Modified: 12/3/2021