--- title: HOSAR Payment Denials - Medicaid Managed Care description: Providers with Denials for Healthy Opportunities Screening, Assessment and Referrals Claims due to Edit 02088 May Now Resubmit Claims - Read on our blog! image: https://go.northwestahec.wakehealth.edu/hubfs/telehealth_03-web-main_0.png --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [HOSAR Payment Denials - Medicaid Managed Care](https://go.northwestahec.wakehealth.edu/practicesupport/hosar-payment-denials-medicaid-managed-care) Apr 27, 2021 4:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) - [Tweet](https://twitter.com/share) **Providers with Denials for Healthy Opportunities Screening, Assessment and Referrals Claims due to Edit 02088 May Now Resubmit Claims**  An issue was identified with provider claims denying due to edit 02088 which enforces a rule that coverage of the procedure code G9919 for Healthy Opportunities Screening, Assessment and Referrals (HOSAR) positive screenings, be limited to providers affiliated with Carolina Access II (CAII) based on the rendering provider NPI. Upon review by the State, the edit disposition has now been updated to allow the claims to be properly adjudicated by updating the affiliation basis to the billing provider NPI. **Affected providers should resubmit claims that were denied for this issue. **  ![telehealth_03-web-main_0](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/telehealth_03-web-main_0.png?width=200&name=telehealth_03-web-main_0.png)Also, before you resubmit, please note:  1. Code G9919 cannot be billed as telehealth.    2. Code G9919 does not require a modifier  3. T1015 should not be combined on a claim with code G9919  4. Please verify the following information for the rendering provider  - Is affiliated with the office - Is a NC Medicaid provider and is active in NCTracks - Has an active taxonomy - Taxonomy should not be single or multispecialty  5. Verify the CCNC Affiliation location and place of service match  6. Procedure codes should always have a billed amount (usual and customary)   **Place of Service Indicator Codes Updated**  Some claims have also denied for Place of Service (POS) mismatch. This table of codes are the allowable POS for billing G9919.   | POS Indicator  | Description  | | --- | --- | | 03  | SCHOOL  | | 04  | HOMELESS SHELTER  | | 05  | INDIAN HLTH SVCS FR-STND FCLTY  | | 06  | INDIAN HLTH SVCS PR-BSD FCLTY  | | 07  | TRIBAL 638 FRE-STNDNG FACILITY  | | 08  | TRIBAL 638 PROV BASED FACILITY  | | 11  | OFFICE  | | 12  | HOME  | | 14  | GROUP HOME  | | 16  | TEMPORARY LODGING  | | 19  | OFF CAMPUS - OUTPATIENT HOSPITAL  | | 21  | INPATIENT HOSPITAL  | | 22  | ON CAMPUS - OUTPATIENT HOSPITAL  | | 23  | HOSPITAL EMERGENCY ROOM  | | 24  | AMBULATORY SURGICAL CENTER  | | 25  | BIRTHING CENTER  | | 49  | INDEPENDENT CLINIC  | | 50  | FEDERALLY QUALIFIED HEALTH CENTER  | | 71  | STATE OR LOCAL PUBLIC HEALTH CLINIC  | | 72  | RURAL HEALTH CLINIC  | For questions on the HOSAR payment contact NCTracks Call Center; 800-688-6696 or [NCTracksprovider@nctracks.com](mailto:NCTracksprovider@nctracks.com)    Tags: [telehealth](https://go.northwestahec.wakehealth.edu/practicesupport/topic/telehealth), [nctracks](https://go.northwestahec.wakehealth.edu/practicesupport/topic/nctracks), [hosar](https://go.northwestahec.wakehealth.edu/practicesupport/topic/hosar) ![Practice Support Team](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/CircleNWAHEC-2022-3.png?width=100&height=100&name=CircleNWAHEC-2022-3.png) #### Written by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. [Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC) # Links - [Course Catalog](http://nwahec.org/) - [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6) - [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec) - [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development) - [Contact Support](https://go.northwestahec.wakehealth.edu/support) # Contact Us [ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu) Medical Center Boulevard Winston-Salem, North Carolina Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Practice Support Team", "url" : "https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team" }, "dateModified" : "2021-04-27T20:30:00.633Z", "datePublished" : "2021-04-27T20:30:00.000Z", "headline" : "HOSAR Payment Denials - Medicaid Managed Care", "mainEntityOfPage" : { "@id" : "https://go.northwestahec.wakehealth.edu/practicesupport/hosar-payment-denials-medicaid-managed-care", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://go.northwestahec.wakehealth.edu/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png" }, "name" : "Northwest Area Health Education Center (NWAHEC)" } } ```