MMCS CHECKS TO DEPOSIT 3-5-18.PDF
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Douglas A. Ducey, Governor Thomas J. Betlach, Director Arizano Health Care Cost ConWoment System January 23, 2017 Maxicopa Managed Care 301 W Jefferson, Suite 3200 Phoenix, AZ 85003 Warrant(s) # 218614620 in the amount of $1,892.00 for recoveries from a third party liability source for AHCCCS, has been mailed to your organization in a separate mailing. The recovery detail is listed on the attached worksheet(s) If you have any questions, or need additional information, please contact Jeffery Marshall at HMS, 602.682.3001 is his direct line. Thank you for your assistance in this matter. Sincerely, Mark Heck TPL Administrator Division of Business & Finance 602-417-4386 1,7 fl4 • Pn Rox 25520. Phoenix, AZ 85002 • 602-417-4000 • wvvw.azahcccs.gov PM 3:44:15 at 119/2018 Date: Amount Run Disbursement $1,892.00 W MICCCS A50715836 2017 December Name First SCOTT CARE MANAGED Other Name BOWEN MAR1COPA Last to To: Type Disbursed Disbursed Service Acute Project Restitution hms Division of Medical Services Third Party Liability Unit hms 5615 High Point Drive, Suite 100 Irving, TX 75038 UHC- P (800)973-7828 Fax: (214)560-3919 Banner MHP —P (800)973-7828 Fax(877) 582-4836 February 27, 2018 MARICOPA MANAGED CARE 301 W. JEFFERSON, STE 3200 PHOENIX, AZ 85003 RE: CHECK RETURN Dear: Sir/Madam: We are returning the enclosed check #40304 dated, 11/21/2017, for $920.66. We are unable to reconcile our account(s) for one of the following reasons: We cannot identify this patient as being an UHC/Banner Medicaid recipient. The check should have been sent to the provider of service, not Arizona Medicaid. The check should be made payable to: Arizona Casualty Other. HMS no longer work this project. Should you have any questions, please contact our office. Sincerely, HMS 5615 high Point Dr, Ste 100 Irving, TX 75038 UHC- P (800)973-7828 Fax: (214)560-3919 Banner MHP —P (800)973-7828 Fax (877) 582-4836 hms December 01, 2017 Cristi Cost Maricopa Managed Care 010083 301 W. Jefferson, Suite 3200 Phoenix, AZ 85003 Re: Total Plan Check Recipient: Susan Yazzie AHCCCS D#: A00452571 Date of Injury: 09/13/1994 Case File #: 102403 Dear Cristi Cost: As you are aware, the Recovery Unit (RU) of Health Management Systems (HMS) is contracted with the Arizona Health Care Cost Containment System Administration (AHCCCS) to perform first and third-party liability recovery activities in connection with claims paid by AHCCCS, and its Health Plans and Program Contractors, Our office is in receipt of the enclosed check. We have verified that the check forwarded to our attention is a total plan check and that AHCCCS has no fee-for-service nor reinsurance interest in this case. Consequently, AHCCCS is not due any of the recovery amount, If AHCCCS is named as a payor, we have endorsed the check so that your office may deposit the check. Please contact our office toll free at 888 378 2836 if you have any questions or comment concerning this matter. Thank you. Sincerely, Ebonee Harvin Caseworker P.O. Box 10530 I Phoenix, AZ 85064 I tel 602 954 8380 I fax 602 257 4180 I toll free 888 378 2836 I www.hms.com o hms November 30, 2017 Jamara Parker United Healthcare 010158 5615 Highpoint Dr. Suite 100 Irving, TX 75038 Re: Total Plan Check Recipient: Allan Pedro AHCCCS ID#: A00416910 Date of Injury: 05/12/2010 Case File #: 102139 Dear Jamara Parker: As you are aware, Health Management Systems (HMS) is contracted with the Arizona Health Care Cost Containment System Administration (AHCCCS) to perfoini first and third-party liability recovery activities in connection with claims paid by AHCCCS, and its Health Plans and Program Contractors. Our office is in receipt of the enclosed check. We have verified that AHCCCS has recovered all related fee-for-service and/or reinsurance interest in this case, Consequently, AHCCCS is not due any of the recovery amount remaining and the case reverts to United Healthcare to recover the remainder of the interest. If AHCCCS is named as a payor, we have endorsed the check so that your office may deposit the check. Please contact our office toll free at 888 378 2836 if you have any questions or comment concerning this matter. Thank you, Sincerely, Jeffrey Marshall Caseworker P.O. Box 10530 I Phoenix, AZ 85064 I tel 602 954 8380 I fax 602 257 4180 I toll free 888 378 2836 I www.hms.corn