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Interim Claims

Date: 05/19/23

Thank you for your continued partnership with Ambetter from Meridian. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of new policies Ambetter from Meridian will be implementing effective on or after 8/1/2023.

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Lines of Business

Interim Claims

Based on CMS guidelines, bill type ending in XX2 or XX3 will be denied when discharge status 30 is not present on the claim.

Marketplace

Thank you for your continued partnership, participation, and cooperation in our ongoing efforts to render the highest quality healthcare to our members, together.