Billing Providers encountering situations which delay the ability to submit claims on a
timely basis may enter an Extraordinary Circumstance (EC) in the EI-Hub's Billing Module. The EC represents the reason that claims could not be submitted within the Bureau’s timely filing guidelines. ECs are entered once for the entire date range the billing provider was affected and must be entered before submitted any claims for the affected time period. For more information, including a job aid on how to enter ECs, follow the link above.
New resources are now available in the Learning Management System, covering service authorizations and claiming for transportation and respite services. This article includes direct links to these resources—follow the link for more information.
An In The Loop article titled “Entering Commercial Insurance
in the EI-Hub” released on 03/20/2025 provides guidance on entering commercial insurance. The article notes that commercial insurance companies often have multiple billing addresses for claims. However, with Covered Lives legislation, only the insurance company's name is required in the EI-Hub. Follow the link for more information.
During claiming, data from the Case Management module transfers to the Billing module to verify claim accuracy. This transfer requires key data, including the child’s address. If the address is missing, claims though accepted will not appear in the Invoice Batch Statuses Report until the information is available. This article explains how to use the Child Lookup feature to confirm if the child is in the Billing module.
An In The Loop article titled “Entering Medicaid and Medicaid Managed Care Insurance Information” released on 2/27/2025 provided guidance on entering Medicaid and Medicaid Managed Care insurance information in the EI-Hub. This article explains how to enter updates to Medicaid Insurance information (CIN) in the system. Follow the link for more information.