执法机构索赔处理问题
As of July 1, 2006, the LEA claims processing system has been modified to reflect the new LEA billing codes and policy changes. The California Department of Health Care Services (DHCS) has identified errors in the claims processing system which may cause claims to be inadvertently denied or incorrectly paid to LEA providers. DHCS is currently working with Electronic Data Systems (EDS) and Fiscal Intermediary – Contracts Oversight Division (FI-COD) to resolve these issues. The link below provides a current summary of claims processing issues and status of resolution.
以下链接是 EDS 发给 LEA 提供商的错误付款更正 (EPC) 信,通知 LEA,对于由于索赔处理系统问题而导致多付或少付的索赔,将自动重新处理。