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RESOLVED: Provider Portal Issue - User Notification

Date: 06/30/21

A Message for all participating Medicaid providers.

Please share with those in your organization who use the provider portal for billing.

We are notifying users of our provider portal of the following known claim submission errors with the Sunflower provider portal.

For behavioral health providers who also have a medical contract and review their payment history on the provider portal, this applies to you:

Identified Error: The payment history information available to the providers within the provider portal is being duplicated for providers with both behavioral health and medical portal accounts. Providers who use the provider portal to review their payment information may see instances in which the behavioral health remittance is also reflected under the medical payment history, which is a duplication of documentation. The payment history is where providers can review their remittance advices vs. downloading them from our EFT vendor website, PaySpan.

Status: Our portal support team worked to resolve the duplication of payment history being displayed.

Resolved as of October 21, 2021.

For providers who review claim statuses on the provider portal:

Identified Error: Within the claim status detail on the provider portal, an adjudicated claim may have a claim line within the claim that may reflect pending. The total payment amount displayed on the provider portal claim status detail does not match the payment amount on the remittance advice.

Status: Our portal support team worked to resolve, but for now providers should review claims on the remittance advices for complete status and paid amount of a claim.

Resolved as of July 8, 2021

Future notification and additional information regarding the above items will be shared to providers on the KanCare 2.0 Issue Log that is managed by KMAP and accessible under KMAP Bulletins.

If you have questions about this bulletin or other provider resources, please contact your Provider Relations Representative or call Customer Service at 1-877-644-4623.