Drug Screening Claim Denials

Providers that have submitted Drug Screening codes G0431 and/or G0434 for billing to HP Enterprise Services (HPES), (DMA’s current fiscal agent) and received the denial EOB 6647, “This service is covered by the Managed Care Organization (MCO) for the recipient’s county and this recipient’s claims must be submitted directly to the MCO/LME for payment”: Please resubmit any claims that have previously denied with denial EOB 6647 for codes G0431 and/or G0434 to HPES for appropriate adjudication.

Source: LISTSERV bulletin April 18, 2013