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Reinsurance Hot News

A publication of the Reinsurance Unit, Division of Health Care Management.

2008 Editions
Issue Date Contents

October 8, 2008 [PDF, 133 Kb]
(Posted October 30, 2008)
  • Biotech Drugs

October 1, 2008 [PDF, 135 Kb]
(Posted October 30, 2008)
  • Encountered Health Plan Allowed Amount

March 24, 2008 [PDF, 141 Kb]
(Posted March 25, 2008)
  • Transplant Encounter/Financial Field Freeze Memo
  • Reinsurance Workshop Agenda

February 25, 2008 [PDF, 344 Kb]
(Posted March 4, 2008)
  • 2008 AHCCCS PMMIS Security Update
  • 2008 Annual Reinsurance Workshop Agenda
  • FTP Report Notification

February 6, 2008 [PDF, 121 Kb]
(Posted March 4, 2008)
  • Reinsurance Cases for Contract Year 24 (10/01/05-09/30/06) will be “Closed”, Case Status “C” on February 9, 2008.

2007 Editions
Issue Date Contents

November 1 [PDF, 133 Kb]
(Posted November 20, 2007)
  • 2008 Reinsurance Workshop
  • Reinsurance Action Request Form
  • R600 - Medicare Coverage Indicated But Not Billed
  • Summary of October Encounter Processing
  • Transplant Stage Invoices Returned
  • Use of 59 Modifiers

March 29 [PDF, 125 Kb]
(Posted November 20, 2007)
  • AHCCCS Security Re-Certification
  • New Auto Adjudication Edits
  • Z655
  • F.A.Qs

March 14 [PDF, 162 Kb]
(Posted November 20, 2007)
  • AHCCCS Security Re-Certification
  • New TPL Web Address
  • Hemophiliac Pricing Changes
  • Edit H405
  • FAQs

February 5 [PDF, 71 Kb]
(Posted November 20, 2007)
  • AHCCCS Translator Issues and February Encounter Cycle Impact


2006 Editions
Issue Date Contents

November 2 [PDF, 58 Kb]
(Posted November 20, 2007)
  • Associated Reinsurance Encounters in an "LE" Status


October 31 [PDF, 62 Kb]
(Posted November 20, 2007)
  • The Reinsurance Claims Processing Manual, October 2006 and the Encounter Manual, October 2006 are now available on the Web.


October 3 [PDF, 58 Kb]
(Posted November 20, 2007)
  • Notification Sent to All CEOs 09/26/2006


September 26 [PDF, 129 Kb]
(Posted October 18, 2006)
  • Validation of Inbound and Outbound Electronic Data

September 21 [PDF, 128 Kb]
(Posted October 18, 2006)
  • Reinsurance Only Available for Inquiry Until 6:00 am Monday September 25, 2006

July 25 [PDF, 137 Kb]
(Posted October 18, 2006)
  • CN1 Indicators Crosswalk to Sub Cap Codes

April 13 [PDF, 71 Kb]
(Posted November 20, 2006)
  • Reinsurance Edit Override Requests (EOR)

April 11 [PDF, 64 Kb]
(Posted November 20, 2006)
  • Z720 and Z721 Exact Duplicate Edits

April 3 [PDF, 186 Kb]
(Posted April 4, 2006)
  • Reinsurance Workshop
  • Reinsurance Edit H583
  • Reinsurance Internal Security Changes
  • Reinsurance Coverage for Bed Hold Days

February 22 [PDF, 118 Kb]
(Posted March 8, 2006)
  • The AHCCCS ISD Promote of 4-Digit Rev. Code System Service Request Created Issue for Reinsurance

February 21 [PDF, 150 Kb]
(Posted March 8, 2006)
  • Reinsurance Edit "R295 Medicare Reported but not Indicated" Reinsurance Will Now Deny
  • Third Party Liability Referral Reminder
  • CN1 Indicator to Sub Cap Code Mapping Issue
  • Reinsurance Associated Encounters that Span AHCCCS Contract Years

January 13 [PDF, 160 Kb]
(Posted January 18, 2006)
  • Contractor Grievances Timely Filing Deadline
  • Quick Pay – Slow Pay
  • A-610 Reinsurance Edit
  • "NEW" Transplant Stage Submission Form
  • SNF Contracts
2005 Editions
Issue Date Contents

September 21 [PDF, 87 Kb]
(Posted November 20, 2007)
  • AHCCCS Blood Factor Coverage Effective 10/01/2005
  • Automation of Reinsurance Edits H583 and H584
  • Transplant Transportation/Lodging Reimbursement Request Form
  • Transplant Outlier Calculation Template (Attached to Email)

October 26 [PDF, 250 Kb]
(Posted November 20, 2007)
  • New Reinsurance Screen Access
  • RI325 Reinsurance Covered Service
  • RI326 Catastrophic Factor Coverage
  • New Reinsurance Edit A160
  • Edit R800 PPC Enrolled Not Eligible for Acute Reinsurance

October 18 [PDF, 171 Kb]
(Posted November 3, 2005)
  • New Reinsurance Screen Access
  • Automation of Reinsurance Edits H583 and H584
  • Transplant Transportation/Lodging Reimbursement Request Form
  • Transplant Outlier Calculation Template (Attached to Email)

August 9 [PDF, 145 Kb]
(Posted November 3, 2005)
  • Reinsurance Edits H583 & H584

   

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