New Claim Reconsideration Process

Xerox has developed a new Reconsideration form for providers to utilize when sending in a claim for reconsideration. Providers can use this form for the following extenuating circumstances:

• Proof of timely filing for repeated untimely filing denials with extenuating circumstances (Do not use the reconsideration form for standard timely filing denials. Resubmit your claim with proof of timely filing)
• Proof of non-duplicated service for an initial duplicate denial
• Response to the fiscal agent’s requests for additional information regarding a previously denied claim (Only when specifically instructed by the fiscal agent)

Source: https://nmmedicaid.acs-inc.com