MedicaidAdministrativeMedium impact
Newsletter Vol. 3, No. 19
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This newsletter explains different types of claims processing inquiries and procedures for healthcare providers, including how to use Remittance Advice statements, Claim Correction Forms, Adjustment Request Forms, Inquiry Response Forms, Good Faith Claims, and Hearing Requests. It provides guidance on when and how to use each type of inquiry or form for claims processing issues.
Action Required
Immediately: Review and understand the different claims inquiry procedures outlined in this newsletter. Ensure billing staff know when to use Claim Correction Forms (CCF) versus Adjustment Request Forms (FD-5) versus Inquiry Response Forms (FD-6). Train staff on proper procedures for Good Faith Claims when eligibility verification issues occur. Keep copies of blank forms FD-5 and FD-6 available for photocopying. Update staff procedures to include required attachments when submitting forms to Paramax/Unisys.