- Encounter and Risk Adjustment Program (Part C)
- Companion Guides
- EDPS Bulletins
- Encounter Data Submission and Processing Guide
- Enroll to Submit Risk Adjustment Data
- FAQs
- Front-end Risk Adjustment System (FERAS)
- Industry Calls
- Newsletters
- Report and File Layouts
- Resources
- Supplemental Benefit Services Submission Guidance
- Training Information
- User Group
Should MAOs and other entities submit denied claims for processing?
Answer:
MAOs and other entities should submit encounter data records for each service or item covered by the plan and provided to an enrollee, regardless of payment status of the claim.
Source: User Group Q&A Documentation from March 23, 2017
Last Updated: 03/23/2017