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VA · guidance

Va. DMAS Hospice Provider Manual ch. V, Invoice Processing

Invoice Processing

activein force · 2025-12-05 – presentcompiled-edition

The Medicaid invoice processing system utilizes a sophisticated electronic system to

process Medicaid claims. Once a claim has been received, imaged, assigned a cross-reference number, and entered into the system, it is placed in one of the following

categories:

Remittance Voucher

•

Approved - Payment is approved or Pended. Pended claims are placed in a

pended status for manual adjudication (the provider must not resubmit).

•

Denied - Payment cannot be approved because of the reason stated on the

remittance voucher.

•

Pend – Payment is pended for claim to be manually reviewed by DMAS staff or

waiting on further information from provider.

No Response - If one of the above responses has not been received within 30 days, the

provider should assume non-delivery and rebill using a new invoice form. The provider's

failure to follow up on these situations does not warrant individual or additional

consideration for late billing.

Provenance

Source
vamedicaid.dmas.virginia.gov
Retrieved
2026-10-02
Edition
dmas-hospice-v-2025-12-05
Content hash
adcdc5cdb9884d630d3f1262649b2e300ca102e1c9de3bf73975e1925b5601d3
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