State of Tennessee    Provider Claims Processing  

 

Department of Intellectual and Developmental Disabilities 
 

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News, Events and Announcements
Event  2) PCP IS NOW OPEN 
From  Tuesday, July 17, 2018 
To  Monday, July 23, 2018 
Details  PCP IS OPEN FOR CURRENT BILLING FOR MAY 27, THRU JULY 7, 2018. IT IS ALSO OPEN FOR LATE BILLS AND ADJUSTMENTS FOR APRIL 15, THRU MAY 26, 2018.

IT WILL BE CLOSED TUESDAY MORNING, JULY 24, 2018 TO SWEEP CLAIMS THRU JULY 7, 2018 AND LOAD CALENDARS FROM JULY 8 TO JULY 14, 2018 IT SHOULD BE AVAILABLE AGAIN BY NOON CENTRAL TIME ON THE 24TH.

THE PCP Billing and TNCare Payment Schedule is available at http://tn.gov/didd/article/pcp-billing-and-tncare-payment-schedule

ALL BILLING, PAYMENT, AND PCP ACCESS QUESTIONS INCLUDING QUESTIONS REGARDING WAIVER, PATIENT LIABILITY AND FINGERPRINT/BACKGROUND INVOICE PAYMENTS 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  ATTENTION!!! IMPORTANT INFORMATION ON PCP STAFF DESIGNATIONS 
From  Thursday, August 18, 2016 
To  Sunday, June 30, 2019 
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.

ONLY ONE 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. 
 
Event  FINGERPRINT/BACKGROUND CHECKS AND ANCILLARIES 
From  Tuesday, September 12, 2017 
To  Sunday, June 30, 2019 
Details  PROVIDERS MAY NOT BILL FINGERPRINT/BACKGROUND CHECKS OR ANCILLARIES IN PCP. BILLING IS HANDLED BY THE DIDD CENTRAL OFFICE BILLING AND PAYMENT STAFF.

TO INQUIRE REGARDING A PENDING PAYMENT FOR THESE PLEASE WRITE
DIDD_Billing.ACR@tn.gov.

PLEASE INCLUDE THE NAME OF YOUR AGENCY, THE AMOUNT OF EXPECTED PAYMENT AND SERVICE DATES.

DIDD_ Business.Services@tn.gov SHOULD BE USED TO SUBMIT BILLING DOCUMENTATION FOR FINGERPRINTS/BACKGROUND CHECKS.

Forms are available on the DIDD website under Providers - Forms and Tools - Office of Business Services.


 
 
 
Citizens Plaza State Office Building
400 Deaderick Street
Nashville, Tennessee 37243-1403