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  Friday, April 16, 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 (16 rows returned) List
 
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Provider Reports (16 rows returned)

 
 TitleFile TypeCategorySize (KB)Run Date 
04-03-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210403091050.pdfPDFTPL CARRIERS1681.404/03/2021 
04-03-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210403091055.pdfPDFTPL CARRIERS1706.904/03/2021 
04-02-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210402235539.pdfPDFFFS/OPR42303.404/02/2021 
04-02-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210402235439.pdfPDFFFS/OPR2103.904/02/2021 
04-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210402072400.pdfPDFREVALIDATION PAST DUE7929.504/02/2021 
PRV-0445-W-XLSCSVFFS/OPR32539.704/02/2021 
PRV-0446-W-XLSCSVFFS/OPR1435.304/02/2021 
PRV-8320-Q-XLSCSVREVALIDATION PAST DUE5292.704/02/2021 
03-19-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210320002532.pdfPDFFFS/OPR42008.503/19/2021 
03-19-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210320002448.pdfPDFFFS/OPR209303/19/2021 
PRV-0445-W-XLSCSVFFS/OPR3232903/19/2021 
PRV-0446-W-XLSCSVFFS/OPR142903/19/2021 
03-06-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210306112114.pdfPDFTPL CARRIERS1682.903/06/2021 
03-06-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210306112124.pdfPDFTPL CARRIERS1706.703/06/2021 
03-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210302082044.pdfPDFREVALIDATION PAST DUE7399.703/02/2021 
PRV-8320-Q-XLSCSVREVALIDATION PAST DUE4939.403/02/2021 
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