State of Tennessee    Provider Claims Processing  

 

Department of Intellectual and Developmental Disabilities 
 

WARNING:   This is a Government computer application system and is the property of the State of Tennessee. It is for authorized use only. Any unauthorized use of this computer system and/or any attempt to gain unauthorized access thereto could constitute a violation of the Computer Crimes Act of the State of Tennessee. 

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News, Events and Announcements
Event  HOLIDAY SCHEDULE 
From  Wednesday, May 24, 2017 
To  Tuesday, May 30, 2017 
Details  STATE OFFICES WILL BE CLOSED MONDAY MAY 29TH FOR THE MEMORIAL DAY HOLIDAY.

WE APOLOGIZE FOR THE INCONVIENENCE. 
 
Event  2) PCP IS NOW OPEN 
From  Tuesday, May 23, 2017 
To  Monday, May 29, 2017 
Details PCP IS OPEN FOR CURRENT BILLING FOR APRIL 2, THRU MAY 13, 2017. IT IS ALSO OPEN FOR LATE BILLS AND ADJUSTMENTS FOR FEBRUARY 19 THRU APRIL 1, 2017.

IT WILL BE CLOSED TUESDAY MORNING, MAY 30, 2017 TO SWEEP CLAIMS THRU MAY 13, 2017 AND LOAD CALENDARS FROM MAY 14 TO MAY 20, 2017. IT SHOULD BE AVAILABLE AGAIN BY NOON ON THE 30TH.

BILLING, PAYMENT, AND PCP ACCESS QUESTIONS SHOULD BE SENT TO DIDD_Billing.ACR@tn.gov PLEASE INCLUDE ALL PERTINENT INFORMATION INCLUDING AGENCY NAME, REGION, SERVICE INDIVIDUALS NAME AND SS#, SERVICE AND DATES OF SERVICE SO THAT WE MAY SERVE YOU MORE EFFICIENTLY 
 
Event  BILLING TIMEFRAME 
From  Thursday, May 25, 2017 
To  Wednesday, February 28, 2018 
Details  Providers are given an approximate 13 week window in which to bill. All billing is to be completed by providers during the 13 week timeframe that the PCP calendars are open to providers for those dates of service. The PCP login screen notes those dates.

We encourage providers to reconcile their payments against verified billing in a timely manner to ensure that issues such as missing days and errors are apparent in time for the provider to make the corrections in PCP before that timeframe is closed.  
 
Event  ATTENTION!!! IMPORTANT INFORMATION ON PCP STAFF DESIGNATIONS 
From  Thursday, August 18, 2016 
To  Friday, June 30, 2017 
Details PLEASE CHOOSE ONLY ONE INDIVIDUAL FOR THE SUPERVISOR ROLE IN PCP. EACH AGENCY MAY HAVE ONLY ONE SUPERVISOR. AN EMAIL MAY BE SENT TO DIDD_Billing.ACR@tn.gov DESIGNATING A SUPERVISOR SUBSTITUTE DURING VACATION OR ILLNESS.

BILLING SHOULD NEVER BE ENTERED WITHOUT VERIFIED DOCUMENTATION. TO ENTER BILLING WITHOUT DOCUMENTATION IS FRAUD.

THE BILLING INDIVIDUAL DESIGNATED IN PCP AS SUPERVISOR SHOULD BE AN INDIVIDUAL THAT HAS THE ABILITY AND RESOURCES TO GUARANTEE THAT ADJUSTMENTS AND LATE BILLS ARE ENTERED ACCURATELY AND CORRECTLY, RESEARCHED WITH COMPLETED NOTES AND VERIFICATION ON WHY THE ADJUSTMENT IS BEING ENTERED.

NOT EVERY BILLING PERSON AT AN AGENCY WILL HAVE ACCESS TO THE ADJUSMENT/LATE BILL SCREENS. IDEALLY AN ADJUSTMENT/LATE BILL SHOULD NEVER BE CHANGED MORE THAN ONE CORRECTION OR PROCESSED WITHOUT VERIFIED "EYES ON" DOCUMENTATION. ENTERING SUBSEQUENT ADJUSTMENTS CAUSES FRAUD ALERTS, SYSTEM ERRORS, MISMARKED CLAIMS AND DENIED CLAIMS. 
 
 
Citizens Plaza State Office Building
400 Deaderick Street
Nashville, Tennessee 37243-1403