Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information
| Date: | September 24, 2025 |
| From: | Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) |
| To: | Health Plan Providers, Facilities, Hospitals, Clinics |
| Type: | Process Update |
| Subject: | Do not submit a Provider Dispute for Remittance Advices with Blank or Missing Claim Line Information |
| Business: | Medi-Cal Managed Care |
We are aware of a system issue related to our recent QNXT 2.0 cut-over that may result in Remittance Advices (RAs) displaying blank or missing claim line information.
Important Guidance: If you receive an RA with missing or blank claim line details, please do not submit a Provider Dispute. Instead, follow the steps below:
Submit a Corrected Claim through your standard claims submission process.
This action allows the new QNXT 2.0 system to properly capture, and process all claim lines, ensuring accurate adjudication and payment.
We appreciate your cooperation and understanding as we work to resolve this system issue.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org
