{"id":632,"date":"2016-03-09T22:50:39","date_gmt":"2016-03-09T22:50:39","guid":{"rendered":"https:\/\/www.amidacareny.org\/es\/for-providers\/provider-news\/faqs\/"},"modified":"2019-07-10T10:47:43","modified_gmt":"2019-07-10T14:47:43","slug":"faqs","status":"publish","type":"page","link":"https:\/\/www.amidacareny.org\/es\/for-providers\/provider-news\/faqs\/","title":{"rendered":"FAQS"},"content":{"rendered":"<h2><span style=\"color: #f88e00;\">FAQs<\/span><\/h2>\n<p><strong>Where do I send claims?<\/strong><br \/>\nAmida Care Claims<br \/>\nPO Box 21455<br \/>\nEagan, MN 55121<br \/>\nElectronic Submissions:<br \/>\nUse Amida Care Submitter ID # 79966.<\/p>\n<p><strong>How do I check the status of a claim? <\/strong><br \/>\nCall Provider Services at 1-800-556-0674.<\/p>\n<p><strong>How can I appeal a claim denial?<\/strong><br \/>\nYou have 60 days from the date of a claim denial to submit an appeal. To file an appeal, mail the Statement of Remittance (SOR) denial that you received from Amida Care along with supporting documentation to:<br \/>\nAmida Care Appeals Department<br \/>\nPO Box 21455<br \/>\nEagan, MN 55121<br \/>\nFor further information on appeals of medical surgical services, call Amida Care\u2019s Medical Services Utilization Management at <strong>1-800-447-8681<\/strong> ; for inpatient or outpatient behavioral health appeals, call Amida Care\u2019s Behavioral Health Services Utilization Management <strong>at 1-888-364-6061.<\/strong><\/p>\n<p><strong>When will I receive payment for submitted claims?<\/strong><\/p>\n<p>Amida Care complies with New York\u2019s prompt pay laws that requires health plans to pay undisputed claims and bills within 45 days of receipt.<\/p>\n<p><strong>What is SNP QARR?<\/strong><\/p>\n<p>Quality Assurance Reporting Requirements (HIVQARR). Amida Care is required by the NYS DOH AIDS Institute to report HIV QARR data. This data is comprised of a series of measures of managed care plan performance. These measures are largely adopted from the NCQA and HEDIS reporting requirements with additional specific measures added to address the care of HIV-infected persons.<\/p>\n<p><strong>How do I verify a Member eligibility for Medicaid?<\/strong><\/p>\n<p>Call Amida Care Member Services at <strong>1-800-556-0689.<\/strong><\/p>\n<p><strong>What services require an authorization?<\/strong><\/p>\n<p>Please see the <a href=\"https:\/\/www.amidacareny.org\/wp-content\/uploads\/sites\/2\/AC-Benefit-Guide-Spanish-v07032019.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Provider Benefit Guide and UM Rules<\/a> to determine which services require pre-authorization.<br \/>\nFor more detailed information, please see the Provider Manual.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>FAQs Where do I send claims? Amida Care Claims PO Box 21455 Eagan, MN 55121 Electronic Submissions: Use Amida Care Submitter ID # 79966. How&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":620,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-632","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Frequently Asked Questions for Providers | Amida Care<\/title>\n<meta name=\"description\" content=\"View an organized list of answers to questions Amida Care receives frequently from providers.\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.amidacareny.org\/es\/for-providers\/provider-news\/faqs\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" class=\"yoast-seo-meta-tag\" \/>\n<meta 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