Thank you for your interest in accurately coding claims for dental Medicaid patients. This session walks you through the Medical Eligibility codes needed for qualifying patients, and the proper way to submit their claims for timely payment.
Here is the Full Session Recording:
Medicaid Mini Series Session 5 - Coding Claims with Confidence
Here are the Presentation Slides:
Coding Claims with Confidence Slide Deck
Need to Know:
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Perhaps you have a few questions. Take a look at some that were commonly asked below. If your question isn't answered here, we're happy to help. Please email Jessica Emmerich and she will respond with the appropriate resources.
Are the Managed Care Billing Portals the Same As eMOMED?
Managed Care plan billing portals are similar but providers should attend training offered by the Managed Care plans on how to use their portals properly. Providers can find MO HealthNet and Managed Care plan training information here: Education & Training | mydss.mo.gov
The Participant Has Another Insurance, Do I Have to Bill Them?
Yes, MO HealthNet is the payor of last resort. Providers should bill the primary insurance first and include that payment information when billing MO HealthNet. MO HealthNet will pay up to their allowable on secondary claims.
Questions about claim denials should be sent to MO HealthNet Provider Communications through eMOMED or 573.751.2896.
Additional Resources:
NEW - MO HealthNet (Missouri Medicaid) Provider Enrollment Guide