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Submitting Claims

HNFS stopped accepting new claims for services rendered on or before Sept. 30, 2018, as of Jan. 1, 2020. Claims for dates of service on or after Oct. 1, 2018, should be submitted to the entity that authorized that care.

HNFS will accept claims for review or reconsideration under the following circumstances:    

  • Care was authorized by HNFS and rendered on or before Sept. 30, 2018, and
  • the reconsideration request is submitted within 90 days of the last remittance advice date.

If needed, HNFS’ Provider Services can help you determine if your claim meets this criteria and provide you information on how to submit a reconsideration request. Adjustment determinations are made on a claim-by-claim basis. Please allow 30–45 days for HNFS review. You will receive a new remit from HNFS with its determination.

Note: HNFS requires the submittal of a Request for Taxpayer Identification Number and Certification (W-9) form in order to issue claims payment for VCP and PCCC claims.