February 07, 2022

New Jersey Medicaid: Avoid denials when submitting multiple birth claims

Effective Dec. 1, 2021, multiple birth claims must be submitted with a valid condition code to be reimbursed.

If the condition code isn’t included in the claim, the claim may be denied.

Access claim appeals and reconsideration information at UHCprovider.com/claims.

Learn more
For more information about the New Jersey multiple birth requirements:

  • Sign in to njmmis.com
  • Select Edit Codes on the left-hand side of the page
  • Under the “Encounter” header, select the “Encounter Edit Codes” link
  • See “Note 02” on page 70 for further information

Please contact your provider advocate.