PACE

Provider Bulletin

MEDICARE PART D VOIDED CLAIMS

March 16, 2007

As stated in the February 26 Provider Bulletin sent with the revised Void Report, the voided claims appear on the enclosed Remittance Advice. These claims were voided from the system on January 17 and identified on the original void report sent January 19, 2007.

Voids appear on a separate VOIDED CLAIMS page. The Program voided claims can be identified by the first 5 numbers in the Control Reference Number in the right hand column. All Program voided claims begin 70177. Voids not beginning with this series of numbers were done by the provider; not the Program. NOTE: Claims re-submitted by Providers after January 17 did not preclude the voided claims from appearing on this report.

IMPORTANT:

Although these voids were processed on January 17, 2007, the voids and accompanying financial impact were delayed until this Remittance Advice. This delay may raise some questions because:

• It is possible that voided claims that appear on this R/A have already been resubmitted by a provider and paid.
• Example: A claim voided by PACE on January 17, resubmitted by the provider on January 24 and paid on the R/A of February 9 will still appear on this R/A. The claim has not been re-voided. There has been 1 void (appearing on this R/A) and 2 payments. The original 1^st payment was made in 2006, voided on January 17 and appears on this void page. The resubmittal 2^nd payment appeared on the February 2, R/A.

• If a provider resubmitted a voided claim between Friday, February 23 and Thursday March 1, the claim will appear on this Remittance Advice both in the PAID CLAIM and the VOIDED CLAIMS section.
• Example: A claim voided on January 17 by PACE and resubmitted by the provider on Saturday February 24 will appear both in the PAID and VOIDED CLAIMS section. However, the claim has not been re-voided. There has been 1 void (appearing on this R/A) and 2 payments --the original 1^st payment in 2006 which was voided on January 17, and which appears on the void page and the resubmittal 2^nd payment which appears on this R/A on the paid claims page.

Claims resubmitted after March 1, but no later than March 24, will appear on a future R/A.

Reminder: The re-processing window for both Highmark and PACE claims ends at the close of business, Saturday, March 24, 2007.

Highmark processing questions: Medco Pharmacy Services Helpdesk at 1- 800-922-1557.

PACE processing questions: Provider Services at 1-800-835-4080.