MedicaidAdministrativeMedium impact
Newsletter Vol. 3, No. 01
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has clarified the process for submitting good faith claims when providers are denied payment due to recipient ineligibility after verifying a valid MEI card. Providers can seek reimbursement for services rendered in good faith by submitting the claim with supporting documentation to a specific Paramax/Unisys address.
Action Required
When receiving Medicaid denials for recipient ineligibility (edit codes for 'Recipient Ineligible on Date(s) of Service' or 'Recipient Not on File') after verifying valid MEI card: Submit good faith claim with original MEI card or eligibility verification letter to Paramax/Unisys Provider Services Unit, CN 19, Trenton NJ, ATTN: Good Faith Claims. Verify all patient demographics and service dates are correct before submission as data entry errors do not qualify for good faith consideration.