Attention Providers: Change Healthcare Update Change Healthcare (CHC) can resume submitting claims to RI Medicaid. This means if you are doing business with CHC, they can submit your claims to RI Medicaid and CHC can now resume downloading your 835/277unsolicited transactions.Please reach out to your clearing house representative with any questions you may have regarding the submissions. You can also reach out to riediservices@gainwelltechnologies.com.
Ambulatory Surgical Centers (ASC) Provider Representative: Karen Murphy Tel. (571) 348-5933 Email: karen.murphy3@gainwelltechnologies.com Reimbursement Ambulatory Surgical Centers are reimbursed using a level system. There are currently nine (9) levels that each are associated with a fee. CPT codes are assigned on of the 9 levels. Reimbursement is 75% of the applicable fee for that level, see table below. ASC Level Fee ASC Percent Provider Reimbursement Level 1 $340.00 75% $255.00 Level 2 $455.00 75% $341.25 Level 3 $520.00 75% $390.00 Level 4 $643.00 75% $482.25 Level 5 $731.00 75% $548.25 Level 6 $840.00 75% $630.00 Level 7 $1,015.00 75% $761.25 Level 8 $989.00 75% $741.75 Level 9 $1,366.00 75% $1,024.50 Please find a list of the current CPT codes and the assigned level in this ASC pricing document. Any CPT code not on this list is not covered when provided by an ASC and will not be reimbursed. There is no plan to modify this pricing at this time.