Iowa Admin. Code r. 441-81.11

Current through Regsiter Vol. 46, No. 26, June 12, 2024

Rule 441-81.11 - Billing procedures

(1)Claims. Claims for service must be sent to the Iowa Medicaid enterprise after the month of service and within 365 days of the date of service. Claims must be submitted electronically through Iowa Medicaid's electronic clearinghouse. A remittance advice of the claims paid may be obtained through the Iowa Medicaid portal access (IMPA) system. Adjustments to submitted claims may be made electronically as provided for by the Iowa Medicaid enterprise. A request for an adjustment to a paid claim must be received by the Iowa Medicaid enterprise within one year from the date the claim was paid in accordance with rule 441-80.4 (249A).

(2) Reserved.

This rule is intended to implement Iowa Code sections 249A.2(6) and 249A.3(2) "a."

Iowa Admin. Code r. 441-81.11

Amended by IAB January 7, 2015/Volume XXXVII, Number 14, effective 3/1/2015