January 18, 2023

State of Alabama
Press Release: Medicaid

Provider Eligibility Date Verification Process

PDF Version


TO:   All Providers

 

RE:   Provider Eligibility Date Verification Process

 

Beginning January 20, 2023, providers may use the Automated Voice Response System (AVRS) to verify if a provider is actively enrolled with Alabama Medicaid.

 

Steps to access Provider Eligibility Date Verification

1.     Dial 1-800-727-7848 to be connected to the AVRS

2.     Select Option 1 for Doctor or Medical Service Provider

3.     Select Option 8 for Provider Eligibility Date Verification

4.     Enter NPI or Medicaid Provider ID

(NOTE: You may be asked to provide a taxonomy and zip code to limit results if an exact match cannot be found.)

5.     Enter Verification Date

 

The AVRS will provide a response indicating if the NPI and/or Medicaid Provider ID entered is or is not eligible for the date entered.

 

Effective January 20, 2023, providers contacting Provider Enrollment or Provider Assistance to verify eligibility/enrollment dates will be directed to the AVRS.

 

NOTE: This response does not guarantee payment or reflect all information required for reimbursement of services such as prior authorization requirements, provider type and specialty restrictions, or other coverage restrictions.

 

If you have questions regarding obtaining eligibility dates, please contact the Provider Assistance Center at 1-800-688-7989 or a Provider Representative.



The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2023 American Medical Association and © 2023 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.

 

 



  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here