Provider Update - Duplicate Claim Submissions

Date: 12/05/18

Arizona Complete Health-Complete Care Plan has noticed a significant increase in provider claims denying for duplicate claim submissions. All exact duplicate claims or claim lines are auto-denied (absent appropriate modifiers or corrected claim indicators). Suspect duplicate claims and claim lines are suspended and reviewed by the Medicaid contractors to make a determination to pay or deny the claim or claim line.

Providers receiving the following claim denial: EX18 - Duplicate claim submission, should thoroughly review this communication as a means to prevent further denials.

Provider Update - Duplicate Claim Submissions (PDF)