Summary of the requirements starting in your Access2Care Transportation Provider Manual and as well as Policy 302 and 306.
CLAIM SUBMISSION
- You have 45 calendar days from the trip date to clear the trips on your portal.
- Claims not cleared in 45 calendar days will cancel for Untimely Filing and you will not be reimbursed.
- Access2Care will audit a random selection of your trips as well as those with missing or expired credentialing information.
- The audit percentage can increase, up to 100%, depending on the results of your random audit results.
CLAIM AUDIT
- You must respond to the audit request within 20 calendar days, or the claim will be denied.
- If you are requested to submit a Trip Log or similar, you must submit the information to A2CAudits@amr.net.
- If you have missing or outdated credentials with Access2Care, you must submit the documents immediately to your Network Specialist.
- Claims denied for incomplete or lapsed credentialing coverage, out of service vehicle or driver is Inactive, have no appeal rights.
CLAIM APPEALS
- You must appeal the claim denial to A2CAudits@amr.net within 30 calendar days of the denial.
- Payment or denial uphold decision will be made in consideration of the information received.
Summary of the requirements starting in your Access2Care Transportation Provider Manual and as well as Policy 302 and 306. See the attached documents below for reference.