: CLAIMS GENERAL:: How can I find out why my claims are denying? : On your remittance advice (RA), KMAP provides EOBs (explanation of benefits) which help to explain why your claim has denied. We encourage providers to take advantage of this enhanced functionality when needing to submit an adjustment to a previously paid claim. ![]() You will be able to submit adjustments for both underpayments and overpayments. If you need further assistance with this issue, contact KMAP at 1-80.ĬLAIMS ADJUSTMENT: Will it be faster to do an adjustment online? Can adjustments be done for both underpayments and overpayments? : Online adjustments, like electronic claims, process much quicker than they would if submitted on paper. Contact the provider to discuss the bill. He can bill you for copayments tied to the services, but cannot bill you to make up the difference in the rate. Do I have to pay this bill? If the provider agreed to accept the card, then he must accept the rate that we pay. Well, I just received a bill from my doctor because his normal rate is more that what KMAP pays. My doctor told me that he would accept the Kansas Medical Card. However, you may wish to contact the provider about the situation. Do I need to pay this bill? The provider is allowed to charge you for a service if you failed to present your medical card at the time you received the service. Q: I received a bill because I didn't present the medical card at the time of service. ![]() ![]() If you receive a bill for a service, you should contact the provider, your KanCare plan, or the KMAP Customer Service if you are not assigned to a plan to look at a specific bill. Do I need to pay this bill? If you have a primary care doctor a referral may be required for treatment provided by another doctor. Q: I received a bill because I did not get a referral.
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