Primary Care Proof Forms
Partners For Kids’ Provider Relations team is now accepting Primary Care proof forms. An Excel spreadsheet, labeled “2020 COMBINED Proof Form,” was sent to each practice on August 31, 2021. The file included the patients attributed to your practice in 2020 who did not meet the criteria for the 2020 incentive measures. We understand that some of the patients on this list may have received incentivized services in 2020 but were not identified in the claims data. If that is the case for your practice, please add the appropriate dates of service in the blanks provided within the patient list and return it to your provider relations specialist with either a HCFA form or Explanation of Payment showing that the well check and/or immunization was performed in the appropriate timeframe. Return these forms no later than November 1, 2021. Forms received later than this date will not be accepted. If you have any questions, please contact your provider relations specialist.
Published September 2021