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  • 18,887 complaints received
  • 5,361 Field Investigations
  • $17,340,900 saved
  • March 1, 2013 - February 28, 2014

    Checks, Payments and Remittance Advice Frequently Asked Questions
     
    1. What should I do if I do not receive a check from Medical Assistance but I have received a Remittance Advice or vice versa?
     
    Response: Allow at least three weeks from the date of receipt of the remittance advice to receive the corresponding check. If after three weeks you still do not receive the check, send a written request along with a copy of the remittance advice summary page to RA-PROMISeCheckStop@pa.gov. E-mail is strongly encouraged in order to handle your request timelier, however, if you are unable to e-mail the request and required backup for the request, you may FAX the information to ATTN: PROMISe check stop requests at 717-425-6572 or mail the request to:
     
    Comptroller Operations Exceptions Unit
    Attn: PROMISe Check Stop Requests
    555 Walnut Street, 9th Floor Forum Place
    Harrisburg, Pennsylvania 17101
     
    Non-receipt of a remittance advice - To request that a copy of a Remittance Advice be mailed to you, please use the electronic form, Request a Duplicate Remittance Advice, on the website below. http://www.dpw.state.pa.us/findaform/duplicateremittanceadvicerequestform/index.htm
     
    2. On remittance advices, what do the status indicators "D", "P," and "S" mean?
     
    Response: "D" = claim or line item has been denied, "P" = claim or line item has been or may be paid, "S" = claim or line item has been suspended.
     
    Keep in mind that the status shown on line number zero (pertaining to a specific claim) is the status of the entire claim. The statuses that are on line 1 or line 2, etc. pertain to that specific line number only.
     
    3. Is direct deposit of Medical Assistance payments available?
     
    Response: Yes. DPW supports Electronic Funds Transfer (EFT) payments. The capability to allow providers to set-up direct deposit is available in PROMISe™. If you registered for EFT payments prior to PROMISe™, no re-registration is necessary. However, if you were not registered for this, an ACH application and step-by-step instructions can be reviewed on the Department of Public Welfare (DPW) website at:
     
    http://www.dpw.state.pa.us/provider/doingbusinesswithdpw/electronicfundstransferdirectdepositinformation%20/index.htm
     
    Or you may contact the Provider Assistance Center at 717-975-4100. Note that registration is by service location and newly added service locations need to be registered individually.
     
    4. How will I receive the 835 (electronic remittance advice)?
     
    Response: Anyone wishing to submit claims electronically with Pennsylvania Medical Assistance must first register to certify with us. When registering to submit the 837, receipt of the 835 is included in this process. After registering you are sent a packet of certification information that addresses the various methods for submission of claims and receipt of the 835.