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L.A. Care Health PlanMedicaid · Administrative · Reimbursement · CAMedium impact

Let’s Keep Claims Moving – Helpful Billing Reminders

Act
immediately
Effective date
Feb 27, 2026
Identified
Jun 20, 2026

Summary

L.A. Care Health Plan issued billing reminders emphasizing that authorization details must exactly match claim submissions, including provider NPIs, service dates, CPT/HCPCS codes, and quantities. They also highlighted issues with improper data entry in claim form fields that interfere with automated processing.

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What to do

immediately · 3 steps
01Billing team must verify all claims match authorization details exactly before submission - ensure provider NPI, service dates, CPT/HCPCS codes, and units billed align with approved authorizations.
02Stop entering notes directly into structured claim form fields or overlaying text on claim forms as this disrupts automated processing.
03Verify claim status before resubmitting to avoid duplicates.

Original notice

Let’s Keep Claims Moving – Helpful Billing Reminders
lacare.org · Always check the source before changing claims.
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