24-147m Submission Reminder: Avoid Rejected Paper Claims
Date: 02/21/24
Follow these tips to ensure your paper claim submission isn’t rejected
Submitting a claim via Electronic Data Interchange (EDI) or web is preferred over paper submission. Avoid claim rejections and ensure all paper claim forms are acceptable by meeting the below criteria:
- Use the right fonts: When filling out claim forms, type or print everything in either 10- or 12-point Times New Roman font. This makes it easy for the computer to understand the information.
- Keep it simple: Don't use highlights, italics, bold text, ink stamps, or staples for forms with multiple pages. Just make sure everything is neatly typed.
- Get the right forms: If you're a physician or a supplier, use the CMS 1500 (02/12) Claim Form. If you're from a hospital, use the CMS 1450 (UB-04) Claim Form. Please note that we do not provide these forms. Providers and facilities are responsible for purchasing their own claim forms.
- Use the right colors: Forms should be in the original red and white version to be accepted. Black and white forms, handwritten forms, or non-standard forms will be rejected. Forms can be obtained from printers or printed in-house, as long as they follow the specifications developed by the National Uniform Claim Committee.
- No photocopies: Photocopies of claim forms are NOT acceptable. Only use the Flint OCR Red, J6983, (or an exact match) ink for printing claim forms. Don't use photocopies because the computer might not read them properly. Downloaded copies won't work either because they might not look exactly like the original.
Following these rules will help make sure your paper claims go through smoothly.
Additional information
Additional resources are listed below:
If you have questions regarding the information contained in this update, contact Provider Services at 888-893-1569.
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
This information applies to Medi-Cal in Fresno, Kings and Madera counties.