Claims

For Providers

Claims

CCP MMA Medicaid Claims Submission Information
Claims should be submitted promptly after the service is provided. Providers shall have six months from the date of service to submit clean claims in accordance with the Florida Medicaid Program. As a guide, further detail on clean claims submittal can be accessed in the Medicaid Provider Reimbursement handbooks, CMS-1500 or UB-04. All Medicaid handbooks can be found at https://ahca.myflorida.com/medicaid/review/specific_policy.shtml.

CCP understands that the use of electronic healthcare transactions is of great value to the provider community. CCP, along with its strategic partner Health-e-Web, Inc. (HeW), are working together to promote the adoption and use of electronic health care transactions including claim transactions and electronic remittance advice, so that your organization can take better advantage of the savings available through HIPAA.

If you are currently submitting paper claims to CCP, or using a clearinghouse that is unable or unwilling to submit claims electronically to CCP, you have options available to you that will allow you to send electronic claims to CCP and start saving time and money today!

CCP and HeW partnered in January 2016 to offer a free claims and ERA option. HeW is now Availity. We are excited to offer an enhanced free claim direct data entry option and ERA portal for your use. This option enables providers to conduct business with CCP using the following methods. These are entirely sponsored by CCP, at no cost to you:

  • Enter and submit claims, receive electronic remittance advice, and exchange other electronic transactions using a browser-based application over the Internet.
  • Directly transmit HIPAA compliant ANSI transactions over a secure direct connection.
  • If you are currently registered with Availity, click here (Availity Portal) to access the Availity Portal for CCP
  • If you are not currently registered with Availity, click here (www.Availity.com) to get registered to use the Availity Portal for CCP
  • For assistance with registration to the Availity portal, click here (New Registration) to access an on-demand training video
  • Until your enrollment is completed for the Availity portal, you may continue to access the current portal at https://hewn12prdweb.hewedi.com.
  • All portal users must be registered with Availity portal before May 26, 2017, as this will be the last day the current portal will be available for use.

To learn more about these options, visit www.Availity.com or contact Availity at 1-800-282-4548. We know you will enjoy industry leading products and services that will bring value to your organization!

Paper claims that require attachments or claim appeals should be mailed to: CCP MMA Claims Department, P.O. Box 841309, Pembroke Pines, FL 33084 Any Inquiries regarding claims payment may be directed to the CCP’s Customer Service Department by calling 1-866-899-4828. Third Party Liability – It is the provider’s responsibility to notify CCP if an enrollee has coverage in addition to CCP.