Add Codes to the TPL Vision Services Group, CR 119556

Sep 05, 2023

MaineCare has identified a claim processing error. MaineCare is the payor of last resort. Providers are required to bill the primary vision insurance before billing MaineCare. Vision service codes have been paying as MaineCare primary when the Member has an active primary vision insurance carrier that has not been billed. MaineCare will reprocess claims with overpaid services and recoup the overpayment. No provider action is needed.  

For more information, please contact Provider Relations Specialist Jane Brann.