FROM THE CLAIMS STAFF
Joanne Norman, Claims Manager
Maximize
Your Reimbursement
As I began writing this article, I was reminded that it is often the little
things that matter. Like going to the coffee pot in our office and finding
a freshly brewed pot or for a provider it could be the giggle of a toddler
enjoying a favorite toy.
It is also the little things that matter when it comes to your monthly food
program claim. Taking just a few minutes to review your claim and the
related paperwork before submitting or mailing can maximize your
reimbursement. It can also save you time and help ensure that your
claim is able to be processed without delay.
A frequently overlooked item. We want you to maximize your
reimbursement so as a value added service we contact you when
you submit a claim with missing or expired child enrollment forms. We
ask if you would like us to process your claim without the form resulting
in lower reimbursement or hold the claim until the enrollment form is
received, maximizing your reimbursement. To get the most from your
claim mail all child enrollment forms and updates so they are received
in the PCI office by the last business day of the month.
Those
little
details.
et to write
Don’t forg
llment
child enro
s,
child’s age
number,
ber!
ur num
or even yo
Incorrect Child Enrollment (CE) Number. When incorrect
CE numbers are used, it can create a number of different issues that
include deductions for over license capacity and lower reimbursement.
Be sure to avoid this by verifying CE numbers on our website, view
or print a Child Enrollment Master List or call our office for assistance.
Compare the CE number for each Child to the number in the Minute
Menu program or the number recorded on the scanner form.
Incomplete forms. We can’t process forms that are not completely
filled out. Rather than processing your claim without these forms,
lowering your reimbursement, we return the form to you. Waiting for the
form to be returned to us causes a delay in your reimbursement. Be sure
to check for missing signatures and dates. On CE forms the hours, meals
and days in care are often missing so review these areas carefully.
License and variance. Please send a copy of all licenses and
variances to our office as soon as they are received. This allows us to
reimburse you correctly according to the capacity allowed by your
county licensor.
Your attention to these little things will help us process your claims and
corresponding forms more efficiently, allowing maximum reimbursement
for your claim.
Do the
little
things.
PROVIDERS VOICE
11