This page can help you find clinical guidelines, educational tools, Medicare and Medicaid resources, our provider magazine and other resources to help you do business with us.
Florida Medicaid is preparing for compliance with the federal requirements that all ordering or referring physicians or other professionals providing services to Medicaid recipients must be enrolled with the State Medicaid agency. The new Error codes, Explanation of Benefits (EOB) codes, and new Claim Adjustment Reason Code/Remittance Advice Remark Code (CARC/RARC) combinations described below are informational only and will not result in a denial.
We have an updated authorization process for your Devoted Health patients. Effective immediately you are no longer required to request an authorization for your Devoted Health Care patients for any services you render. This includes office visits and procedures. A pre-certification or authorization number will not be needed to have your claims processed and paid by Health Network One. This new directive is only for your Devoted Health patients. If you have any questions, please contact us at 800.595.9631 option 2.