[Ohioaap-practicemanagers] Caresource & Buckeye Problems

[Price, Jonathan]

​Thanks Ms Wells for this. It'll prevent a lot of unnecessary duplication of effort on the part of everyone else on the Ohio AAP Practice Management Listserv!

Tina, forgive me for not knowing this, but have you already joined the listserv?

   Jon Price, MD FAAP

   Co-chair, Pediatric Council, AAP Ohio Chapter

________________________________
From: Ohioaap-practicemanagers <ohioaap-practicemanagers-bounces at lists.deltaforce.net> on behalf of Toni Wells via Ohioaap-practicemanagers <ohioaap-practicemanagers at lists.deltaforce.net>
Sent: Monday, June 11, 2018 8:11 AM
To: ohioaap-practicemanagers at lists.deltaforce.net
Subject: Re: [Ohioaap-practicemanagers] Caresource & Buckeye Problems


I have spoken to our Carsource & Buckeye Reps ( as well as PFK reps)....they are aware of the issues and are currently working on a fix.  I was told to not send through appeals or corrections.  They are going to be issuing corrected claims payments as soon as the fix is completed.  I was given an ETA of 30 days.



Toni Wells
Office Manager
Child Passenger Safety Tech

Hometown Pediatric Care, LLC
504 McCarty Lane • Jackson, OH 45640
Hometown Pediatric Care
[phone-icon]  740-286-5455
[email-icon]  twells at hometownpediatric.com
[website-icon]  www.hometownpediatric.com<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.hometownpediatric.com_&d=DwMF-g&c=FGzDrZ8hK6OoO1oc9Smc5l64O0n3B5aByDFzrvN9KLI&r=anTctJhkpqxmDnVS8isg6A3DFpkdXkHUmhm1G4xLxDjLJXy4c4XsjwCZ6bfhjUOI&m=k0z56fdQ18bSRdlesuYMtoFbmBAR32_YpI2SVQ3VXXw&s=CM8zrVQszhOxygMKzBzhkQ9hSxJo7HOwHw9_ZkZ01NQ&e=>
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Today's Topics:

   1. FW: Caresource and Buckeye -Medicaid      plans (Price, Jonathan)


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Message: 1
Date: Fri, 8 Jun 2018 19:23:54 +0000
From: "Price, Jonathan" <Jonathan.Price at nationwidechildrens.org>
To: "Ohio AAP Prctc Mngr Listserv
        (ohioaap-practicemanagers at lists.deltaforce.net)"
        <ohioaap-practicemanagers at lists.deltaforce.net>, "Combs, Frank"
        <Frank.Combs at nationwidechildrens.org>, 'Kristen Fluitt'
        <kfluitt at ohioaap.org>
Subject: [Ohioaap-practicemanagers] FW: Caresource and Buckeye
        -Medicaid       plans
Message-ID:
        <33cd5975579c41699333467b7fe040e8 at l1perdwmbx01.childrensroot.net>
Content-Type: text/plain; charset="utf-8"

This issue is obviously huge. Is anyone else having this problem, heard of an explanation, or know of a solution?
   Jon Price MD FAAP
   Co-chair, Pediatric Council, AAP Ohio Chapter

From: Tina Steece <tina.steece at kidzdoc.com>
Sent: Friday, June 8, 2018 3:02 PM
To: Price, Jonathan <Jonathan.Price at nationwidechildrens.org>
Subject: Caresource and Buckeye -Medicaid plans

[WARNING: External Email - Use Caution]


Hi Dr. Price, Dr. William Long asked me to send you a message about a problem our practice is having with Caresource and Buckeye Health Plan.We are getting denials for well visits because the health plans are showing that the child/patient has met the maxium benefits for well care. Not true in any case..We have a huge population of caresoure patients. We have hundreds of claims not paid. Are you aware of this problem? Any help you can give?
Thanks Tina
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