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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Elizabeth M. Whitehorn, Director

Rebilled Non-Emergency Transportation Claims Denying G55, 180 Day Timely Filing

HFS System Issue:

Non-emergency transportation claims that were previously suspended with code D04, rejected G55, 180- Day Timely Filing Limit, when they were rebilled.  HFS posted a webpage on April 27, 2015 stating the claims could be rebilled, and they would bypass the timely filing edit for error code, G55, 180-day timely filing.  

See System Issue Page, Non-Emergency Transportation Claims Suspended, D04, Pricing Problem.   

Problem:

The previously suspended non-emergency transportation claims that were rebilled denied, G55, 180-day timely filing.   An electronic override to bypass the timely filing error that was to allow the claims to pay was entered incorrectly.  As a result, the rebilled claims denied.

Providers Impacted:

Non-emergency transportation providers

Procedure Codes Impacted:

A0090, A0100, A0120, A0130, A0422, A0425, A0428, T2001

Problem Begin Date:

Claims rebilled on and after April 27, 2015.  The claims affected were previously submitted between December 27, 2012 and July 11, 2014.

Problem Fix Date:

May 20, 2015

Resolution for Impacted Claims:

Claims can be rebilled electronically, and they will bypass the timely filing edit.  Providers have 180 days from the fix date to rebill affected claims.