August 25, 2016
Important Claim Information Update for Medical Fee-For-Service Providers
The Receiver entered into a contract with a third-party administrator, MED3000 Health Solutions Southeast, to handle the processing of PUP unpaid Provider claims.
On August 25, 2016, the Receiver sent notices with claim filing instructions to all known Medical Fee-For-Service Providers who may have claims unpaid by PUP. These notices were sent by email to the email on file with the NPPES database or by regular mail if no email was available. If you have not received a notice, please contact MED3000 Health Solutions Southeast by email, firstname.lastname@example.org or by phone at (844) 636-7501. Always include the provider name, tax ID and the NPI in your inquiry.
The Claim Filing Deadline for all Medical Providers is October 31, 2016
As of August 18, 2014:
As a result of the liquidation of Physicians United Plan, Inc. (PUP) and termination of its contract with CMS, CMS retroactively enrolled all PUP members into Original Medicare FFS and a Prescription Drug Plan effective June 1, 2014.
Providers who have delivered services to members on or after June 1, 2014 should submit claims under Medicare Fee for Service.
Providers with any questions regarding this retroactive enrollment for billing
should contact Medicare directly at 1-800-MEDICARE (1-800-633-4227).