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  Tuesday, January 14, 2025
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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 (19 rows returned) List
 
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Provider Reports (19 rows returned)

 
 TitleFile TypeCategorySize (KB)Run Date 
FFS OPR Provider ListingCSVFFS/OPR43968.801/11/2025 
OPR Only Provider ListingCSVFFS/OPR2295.601/11/2025 
01-10-2025 - PRV-0445-W - FFS OPR PROVIDER LISTING 20250111004502.pdfPDFFFS/OPR57150.301/10/2025 
01-10-2025 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20250111004455.pdfPDFFFS/OPR3359.401/10/2025 
01-03-2025 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20250104061457.pdfPDFTPL CARRIERS2658.201/03/2025 
01-03-2025 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20250104061507.pdfPDFTPL CARRIERS2652.901/03/2025 
01-02-2025 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20250102061151.pdfPDFREVALIDATION PAST DUE13036.101/02/2025 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE934901/02/2025 
FFS OPR Provider ListingCSVFFS/OPR43913.412/28/2024 
OPR Only Provider ListingCSVFFS/OPR2284.812/28/2024 
12-27-2024 - PRV-0445-W - FFS OPR PROVIDER LISTING 20241228004603.pdfPDFFFS/OPR56973.512/27/2024 
12-27-2024 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20241228004556.pdfPDFFFS/OPR333512/27/2024 
DCH-STP Training VerificationPDFFFS/OPR341.212/17/2024 
FFS OPR Provider ListingCSVFFS/OPR43780.512/14/2024 
OPR Only Provider ListingCSVFFS/OPR2287.712/14/2024 
12-07-2024 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20241207071921.pdfPDFTPL CARRIERS2656.612/07/2024 
12-07-2024 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20241207074503.pdfPDFTPL CARRIERS2650.912/07/2024 
12-02-2024 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20241202054341.pdfPDFREVALIDATION PAST DUE12864.312/02/2024 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE9227.112/02/2024 
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