important information

Medicaid eligibility review is underway for many MDwise members. Encourage patients to update their info with FSSA so they don’t lose their health coverage!

Info for patients

The 365-Day Rule

Just a reminder that providers have 365 days to bill newborn claims for the first 30 days of life. This extended timeframe is to allow time for the newborn to be assigned a member identification number (MID), and for providers to be able to bill claims using that MID. Newborn claims should never be billed using the mother’s MID. Also, be sure to bill the newborn claims using the correct member birthweight diagnosis. Failure to bill with the correct MID or diagnosis could result in a denied or rejected claim.