Claim Edit for Provider Affiliation – Implementation Date ChangeAffiliation

The implementation date for the affiliation claim edit has changed from February 5, 2017, to May 1, 2017. Providers are encouraged to submit Managed Change Requests (MCRs) before May 1, 2017 to affiliate the attending/rendering providers with the billing provider(s) who are submitting claims on their behalf. This will prevent claim denials effective May 1, 2017. For more information on the claim edit disposition, please read the Affiliation Claim Edit Update Article published in the January 2017 Medicaid Bulletin.

Source: https://www.nctracks.nc.gov/content/public/providers/provider-communications/2017-announcements.html