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  Monday, January 27, 2020
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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 (42 rows returned) List
 
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Provider Reports (42 rows returned)

 
 TitleFile TypeCategorySize (KB)Run Date 
01-25-2020 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20200126050058.pdfPDFREVALIDATION PAST DUE7983.201/25/2020 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE5339.801/25/2020 
01-24-2020 - PRV-0445-W - FFS OPR PROVIDER LISTING 20200125011113.pdfPDFFFS/OPR3638401/24/2020 
01-24-2020 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20200125010558.pdfPDFFFS/OPR1840.701/24/2020 
FFS OPR Provider ListingCSVFFS/OPR27960.901/24/2020 
OPR Only Provider ListingCSVFFS/OPR1254.201/24/2020 
01-18-2020 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20200118194506.pdfPDFREVALIDATION PAST DUE7819.201/18/2020 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE5233.901/18/2020 
01-11-2020 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20200111190029.pdfPDFREVALIDATION PAST DUE7715.501/11/2020 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE5164.601/11/2020 
01-10-2020 - PRV-0445-W - FFS OPR PROVIDER LISTING 20200111014737.pdfPDFFFS/OPR36200.201/10/2020 
01-10-2020 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20200111014308.pdfPDFFFS/OPR1832.901/10/2020 
FFS OPR Provider ListingCSVFFS/OPR27817.101/10/2020 
OPR Only Provider ListingCSVFFS/OPR1248.801/10/2020 
01-04-2020 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20200104112924.pdfPDFTPL CARRIERS1679.601/04/2020 
01-04-2020 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20200104112929.pdfPDFTPL CARRIERS1702.201/04/2020 
01-02-2020 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20200102063319.pdfPDFREVALIDATION PAST DUE7555.501/02/2020 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE5060.701/02/2020 
12-28-2019 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20191228170057.pdfPDFREVALIDATION PAST DUE7471.312/28/2019 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE5009.212/28/2019 
12-27-2019 - PRV-0445-W - FFS OPR PROVIDER LISTING 20191228131029.pdfPDFFFS/OPR3605912/27/2019 
12-27-2019 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20191228130239.pdfPDFFFS/OPR1813.212/27/2019 
FFS OPR Provider ListingCSVFFS/OPR27736.612/27/2019 
OPR Only Provider ListingCSVFFS/OPR1235.512/27/2019 
12-21-2019 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20191221194305.pdfPDFREVALIDATION PAST DUE7380.712/21/2019 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE4946.612/21/2019 
12-14-2019 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20191214215253.pdfPDFREVALIDATION PAST DUE7211.812/14/2019 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE482612/14/2019 
12-13-2019 - PRV-0445-W - FFS OPR PROVIDER LISTING 20191214215311.pdfPDFFFS/OPR35954.112/13/2019 
12-13-2019 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20191214212523.pdfPDFFFS/OPR1809.712/13/2019 
FFS OPR Provider ListingCSVFFS/OPR27634.912/13/2019 
OPR Only Provider ListingCSVFFS/OPR1233.212/13/2019 
12-08-2019 - 01-17-40 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20191208141740.pdfPDFTPL CARRIERS1073.112/08/2019 
12-08-2019 - 01-17-47 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20191208141743.pdfPDFTPL CARRIERS1096.712/08/2019 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE4744.112/07/2019 
PUBLIC PROVIDER REVALIDATION PAST DUEPDFREVALIDATION PAST DUE4206.912/07/2019 
Provider Revalidation Past DueCSVREVALIDATION PAST DUE4670.212/01/2019 
PUBLIC PROVIDER REVALIDATION PAST DUEPDFREVALIDATION PAST DUE4141.312/01/2019 
FFS OPR Provider ListingCSVFFS/OPR27603.411/29/2019 
FFS OPR PROVIDER LISTINGPDFFFS/OPR19433.511/29/2019 
OPR Only Provider ListingCSVFFS/OPR1227.911/29/2019 
OPR ONLY PROVIDER LISTINGPDFFFS/OPR1022.811/29/2019 
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