Step 1, a Attorney or Insurance Company letters and faxes with requests for lien balance or medical claims information. And thirdparty liability TPL is established 2011 or after, receives trauma leads from the following sources. Then the Caseworker matches and posts the related claims from the mmis Report into the Maestro Claims Screen. Performance Standards, the Lien Unit will then release the check from hold and approve the check for deposit as well as the necessary followup in Maestro and the case file. A Medical Assistance Lien is filed if Iowa Medicaid has paid claims related to the malpractice. Path of Business Procedure 1 REV Medical Malpractice Procedure Purpose. When injury occurs involving a Medicaid member and the incident date is July..
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Case Worker Name Case Worker Enclosures. A copy of the mmis member eligibility. Lien Recovery Manual Page 25, a copy of the notice of lien or lien transmittal. The file is comprised of lien and release of lien forms. If there is a potential case a new case file for the member is opened and worked. The letter of representation and authorization. Carrie Kleis Iowa Medicaid Enterprise Lien Recovery Unit Enclosures. Updated vent lien notice OF medical assistance medicaid OR title XIX lien Iowa Code Sec. Sincerely, please contact the Iowa Lien Recovery Unit at or Sincerely.
After all the claims are accounted for. C Trauma Code Lead letters sent by Core to Medicaid members after a diagnosis code analysis of their medical claims indicates the injury possibly resulted from a trauma. Please filestamp both the original and one copy. The case is closed if the check is for the full lien amount. A selfaddressed stamped envelope will be included with the forms..