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  Tuesday, December 5, 2023
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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 (17 rows returned) List
 
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Provider Reports (17 rows returned)

 
 TitleFile TypeCategorySize (KB)Run Date 
Provider Revalidation Past Due by Provider Type 120423XLSXREVALIDATION PAST DUE3917.812/04/2023 
12-02-2023 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20231202081923.pdfPDFREVALIDATION PAST DUE13513.312/02/2023 
12-02-2023 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20231202072212.pdfPDFTPL CARRIERS1697.612/02/2023 
12-02-2023 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20231202072217.pdfPDFTPL CARRIERS1721.712/02/2023 
FFS OPR Provider ListingCSVFFS/OPR40334.512/02/2023 
OPR Only Provider ListingCSVFFS/OPR2031.512/02/2023 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE9415.612/02/2023 
12-01-2023 - PRV-0445-W - FFS OPR PROVIDER LISTING 20231202005717.pdfPDFFFS/OPR52294.712/01/2023 
12-01-2023 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20231202005549.pdfPDFFFS/OPR2977.612/01/2023 
FFS OPR Provider ListingCSVFFS/OPR40228.511/18/2023 
OPR Only Provider ListingCSVFFS/OPR2027.511/18/2023 
11-17-2023 - PRV-0445-W - FFS OPR PROVIDER LISTING 20231118004606.pdfPDFFFS/OPR52138.211/17/2023 
11-17-2023 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20231118004554.pdfPDFFFS/OPR297411/17/2023 
11-04-2023 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20231104084322.pdfPDFTPL CARRIERS1695.511/04/2023 
11-04-2023 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20231104084327.pdfPDFTPL CARRIERS1721.811/04/2023 
11-02-2023 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20231102051317.pdfPDFREVALIDATION PAST DUE16824.211/02/2023 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE11708.611/02/2023 
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