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| Introduction |
The
Manual Payment process is used as a tool for
manual adjustments to capitation records.
Manual payments are utilized to create a
payment or recoupment override to manually process
records that would not be processed
systematically.
From the Health Plan perspective the Manual Payment
Process will be incorporated into the Weekly
Capitation Notification (HIPAA 820) processes.
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|
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| Schedules |
The
following table outlines schedules for the Manual
Payment process.
|
Processing
requirement
|
Schedule
|
| Manual Payment Update |
On-line entry during the day. |
| Manual
Payment Roster |
are downloaded to the AHCCCS Communications
Server and available for extraction by
the Health Plan by 11:59 p.m. |
| 820 TCS files |
|
|
|
|
| Media |
The Daily Manual Payment Roster and
Weekly Capitation Notification file (HIPAA 820)
are available on the AHCCCS communications server.
|
| Testing |
Daily Manual Payment
Roster and Weekly Capitation Notification
transmissions must be tested in coordination with
AHCCCS ISD operations staff prior to production
implementation of a new Health Plan or change in
service bureau, or as a result of changes.
Typical testing of file transmissions takes
approximately one week and must be completed prior
to implementation of any new processing
arrangement.
|
| Reference
documents |
Manual
Payment Roster Layout
HIPAA 820 Companion Document
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