Provider Enrollment Reminder: Multiple Provider Types Must Complete Enrollment for Each Type
Date: 11/02/23
In June, Louisiana Healthcare Connections shared with providers a reminder that providers needed to complete their enrollment in the Provider Enrollment Portal at www.lamedicaid.com. Also providers with multiple provider types must complete enrollment for each type.
Starting January 1, 2024, Louisiana Healthcare Connections will begin denying claims for any of the provider types not enrolled. Providers will see the following explanation codes on the RA and/or EOP based on the NPIs billed on the claims:
| Code | Reason |
|---|---|
EXki | ENROLLMENT VAL: RENDERING PROV TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXkj | ENROLLMENT VAL BILLING PROVIDER TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXko | ENROLLMENT VAL: ATTENDING PROV TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXkl | ENROLLMENT VAL: OPERATING PROV TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXkm | ENROLLMENT VAL: REFERRING PROV TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXkn | ENROLLMENT VAL: ORDERING PROV TYPE MISSING/INVALID OR NOT REC'D TIMELY |
EXev | ENROLLMENT VALIDATION FROM REFERRING-MISSING/INVALID OR NOT REC'D TIMELY |
EXEv | ENROLLMENT VALIDATION FROM ORDERING -MISSING/INVALID OR NOT REC'D TIMELY |
If denied, claims will not be automatically recycled. Providers will need to submit corrected claims for reimbursement once provider type is updated and enrollment completed.
Providers that are unsure of their enrollment status may use the Provider Portal Enrollment Lookup Tool. Results will show the provider’s status as either enrollment complete, action required, application not submitted, or currently in process by Gainwell Technologies. Providers that are not shown in the results are not required to enroll at this time. Invitation letters for those providers will be sent at a later date. The Lookup Tool is updated daily. Providers can find additional information and submit questions on the provider enrollment webpage and in the Informational Bulletin 22-38: Provider Enrollment Requirements.