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  Monday, June 14, 2021
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Provider Revalidation Past Due
This report identifies provider service locations that have been notified to revalidate with Georgia Medicaid but have exceeded their revalidation due date. If your service location is listed on the report, please submit a revalidation application through the secure GAMMIS Web Portal as the service location listed. For more information, please refer to the Revalidation FAQ on the FAQ for Providers page.


Third Party Liability Carrier Listing
This report is furnished for providers to use when Medicaid members have other insurance that should process a claim before Medicaid processes.

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Provider Reports (20 rows returned) List

Provider Reports (20 rows returned)

 TitleFile TypeCategorySize (KB)Run Date 
06-11-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210611235600.pdfPDFFFS/OPR43647.306/11/2021 
06-11-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210611235537.pdfPDFFFS/OPR216206/11/2021 
06-05-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210605103611.pdfPDFTPL CARRIERS1684.106/05/2021 
06-05-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210605103614.pdfPDFTPL CARRIERS171006/05/2021 
06-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210602075057.pdfPDFREVALIDATION PAST DUE8856.106/02/2021 
05-28-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210528235609.pdfPDFFFS/OPR43379.905/28/2021 
05-28-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210528235557.pdfPDFFFS/OPR2154.305/28/2021 
05-14-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210514235522.pdfPDFFFS/OPR43152.705/14/2021 
05-14-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210514235510.pdfPDFFFS/OPR2149.905/14/2021 
05-08-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210508121608.pdfPDFTPL CARRIERS1683.305/08/2021 
05-08-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210508121613.pdfPDFTPL CARRIERS1707.705/08/2021 
05-01-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210502025055.pdfPDFREVALIDATION PAST DUE8354.205/01/2021 
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