Christmas and New Year’s holiday will impact ProviderOne payment dates and claim submission deadlines

The observance of both Christmas and New Year’s holidays will result in changes to the ProviderOne payment dates and claim submission deadlines for both holiday weeks.

Christmas payment date and submission deadline change:

In observance of Christmas, state offices will be closed Friday, December 24, 2021. As a result, provider payments for the week of December 20 will be made on Thursday, December 23, including the delivery of Remittance Advices (RAs) and HIPAA 835 remittance files.

Claim submission deadlines have been moved up to ensure that providers are able to receive payment and RA documents on December 23.

The deadline for submission of claims to ProviderOne for payment during the week of Christmas will be Monday, December 20 by 5 p.m.
The deadline for submission of pharmacy claims to the Point of Sale (POS) during the week of Christmas will be Sunday, December 19 by 5 p.m.

New Year’s payment date and submission deadline change:

In observance of New Year’s Day, state offices will be closed Friday, December 31, 2021. As a result, provider payments for the week of December 27 will be made on Thursday, December 30, 2021, including the delivery of RAs and HIPAA 835 remittance files.

Claim submission deadlines have been moved up to ensure that providers are able to receive payment and RA documents on December 30.

The deadline for submission of claims to ProviderOne for payment during the week of New Year’s will be Monday, December 27 by 5 p.m.
The deadline for submission of pharmacy claims to the Point of Sale (POS) during the week of New Year’s will be Sunday, December 26 by 5 p.m.

Please report any issues to: mmishelp@hca.wa.gov.

Thank you.

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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