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  Monday, October 25, 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

Provider Reports (16 rows returned)

 TitleFile TypeCategorySize (KB)Run Date 
10-15-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20211015235820.pdfPDFFFS/OPR46536.810/15/2021 
10-15-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20211015235805.pdfPDFFFS/OPR2287.110/15/2021 
10-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20211002062158.pdfPDFREVALIDATION PAST DUE10188.110/02/2021 
10-02-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20211002104623.pdfPDFTPL CARRIERS1685.710/02/2021 
10-02-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20211002104628.pdfPDFTPL CARRIERS1709.710/02/2021 
10-01-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20211001235954.pdfPDFFFS/OPR46205.710/01/2021 
10-01-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20211001235819.pdfPDFFFS/OPR2274.210/01/2021 
09-04-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210904080836.pdfPDFTPL CARRIERS1684.809/04/2021 
09-04-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210904080840.pdfPDFTPL CARRIERS171109/04/2021 
09-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210902052313.pdfPDFREVALIDATION PAST DUE10030.709/02/2021 
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