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TO: All Providers
RE: Provider Eligibility Date Verification Process
Beginning
January 20, 2023, providers may use the Automated Voice Response System (AVRS)
to verify if a provider is actively enrolled with Alabama Medicaid.
Steps to
access Provider Eligibility Date Verification
1.
Dial 1-800-727-7848 to be connected to the AVRS
2.
Select Option 1 for Doctor or Medical Service Provider
3.
Select Option 8 for Provider Eligibility Date Verification
4.
Enter NPI or Medicaid Provider ID
(NOTE:
You may be asked to provide a taxonomy and zip code to limit results if an
exact match cannot be found.)
5.
Enter Verification Date
The AVRS will
provide a response indicating if the NPI and/or Medicaid Provider ID entered is
or is not eligible for the date entered.
Effective
January 20, 2023, providers contacting Provider Enrollment or Provider
Assistance to verify eligibility/enrollment dates will be directed to the AVRS.
NOTE: This response does not
guarantee payment or reflect all information required for reimbursement of
services such as prior authorization requirements, provider type and specialty
restrictions, or other coverage restrictions.
If you have
questions regarding obtaining eligibility dates, please contact the Provider
Assistance Center at 1-800-688-7989 or a Provider
Representative.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2023
American Medical Association and © 2023 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.