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  Wednesday, January 27, 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 
01-22-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210123013205.pdfPDFFFS/OPR41066.301/22/2021 
01-22-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210123013151.pdfPDFFFS/OPR2067.101/22/2021 
01-08-2021 - PRV-0445-W - FFS OPR PROVIDER LISTING 20210109005648.pdfPDFFFS/OPR40896.801/08/2021 
01-08-2021 - PRV-0446-W - OPR ONLY PROVIDER LISTING 20210109005544.pdfPDFFFS/OPR2050.301/08/2021 
01-02-2021 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20210102102414.pdfPDFREVALIDATION PAST DUE7671.401/02/2021 
01-02-2021 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20210102095542.pdfPDFTPL CARRIERS1680.501/02/2021 
01-02-2021 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20210102095536.pdfPDFTPL CARRIERS1706.701/02/2021 
12-05-2020 - TPL-0021-M - CARRIER MASTER FILE - ALPHA 20201205101327.pdfPDFTPL CARRIERS1680.712/05/2020 
12-05-2020 - TPL-0022-M - CARRIER MASTER FILE - NUMERIC 20201205101334.pdfPDFTPL CARRIERS1704.612/05/2020 
12-02-2020 - PRV-8320-Q - PUBLIC PROVIDER REVALIDATION PAST DUE 20201202073853.pdfPDFREVALIDATION PAST DUE770412/02/2020 
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