Kelvin Education

Unlocking NPI Claims for Resubmission

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This lesson describes the process for unlocking NPI claims that have previously been locked.

Where to Start

Where to Start

Select Medicaid -> Billing.

Select Resubmission Options from the sub-navigation bar.

Force Resubmission

Force Resubmission

Read through the onscreen directions before proceeding.

1. Input Start Date and End Date.

2. Select Claim Type.

3.  Select Submit.

Next Steps

Next Steps

Once you have completed the above steps you can create a new batch to recapture the claims for resubmission.

Only claims that fall within the date range of the new batch will be included in the newly created batch.

Note: Claims that do not meet the NPI billing logic will be rejected by Illuminate and will not be included in the new billing submission (i.e., claims that have NPI less than or greater than 10 digits, missing NPI, missing physician first/last name). These claims will appear in the Rejected Claims report prior to submission. Also, claims that contain NPI for physicians that have not updated their Medicaid profile with the State will continue to be rejected by the state until those physicians have updated their information. These rejections can be viewed in the RA Rejections following the RA 845 import.

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