OSP News

HAP CareSource Dual Medicare/Medicaid is Coming to Availity January 1

Posted: 12/05/2023

This is an important notification about your HAP CareSource MI Health Link EDI transactions — including claims submission, eligibility status, and claim status verification. Beginning January 1, 2024, Availity will serve as HAP CareSource MI Health Link’s exclusive EDI gateway service for HAP CareSource MI Health Link members. Please use the new Payer ID – MIMCRCS1 – for the following HIPAA transactions:

  • 270/271 Eligibility and Benefits 
  • 837 I, P Claim Submission 
  • 276/277 Claim Status

Impact

Please contact your clearinghouse or service provider today. It may take some time to work through this change and result in possible disruption if your clearinghouse or service provider is not connected to Availity by January 1, 2024.

Importance


Claims with Dates of Service On or After January 1, 2024

  • Claims with dates of service on or after January 1, 2024, that are submitted directly to HAP CareSource (and not through Availity) will be rejected. Please submit claims on or after January 1 to Availity using Payer ID MIMCRCS1.
  • Inpatient claims with lowest dates of service on or after January 1, 2024, should be submitted to HAP CareSource MI Health Link using Payer ID MIMCRCS1.

Claims with Dates of Service Prior to January 1, 2024

  • Submit claims for dates of service prior to January 1, 2024, to HAP Empowered.

Click here for additional information about selecting Availity for your clearinghouse or service provider needs, visit Availity EDI Clearinghouse. You can also contact HAP CareSource MI Health Link Provider Services at 1-833-230-2159.

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