Health Care Authority working to fix incorrect Apple Health claim denials

A recent change to ProviderOne caused the Health Care Authority (HCA) to deny some fee-for-service claims in error. The affected claims were denied as “prior authorization required.”HCA will update ProviderOne on July 29, 2016, to correct this problem. After that fix, claims should no longer deny incorrectly for authorization requirements. Please do not resubmit claims denied for this reason between now and July 29. HCA will reprocess the affected claims for providers after July 29 to pay these claims. Providers should see the reprocessed claims on their August 5 and August 12 remittance advices, where claims will appear as either paid or with a correct reason for denial.