Non-Emergent, Emergency Department (ED) Pricing Failure, TR 113880
MaineCare identified an overpayment of some emergency room hospital claims. These claims received the Ambulatory Payment Classifications (APC) rate vs. the non-emergent rate. The affected date range is July 01, 2021, through March 31, 2023. MaineCare will reprocess all affected claims and no provider action is needed.
Please contact your Provider Relations Specialist Tiffany Norton with any other questions.
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