Provider Update: November 6, 2019
To: All ADvantage Providers
Subject: Provider Question Resolution Statuses
To assist providers in identifying the status of a provider question inquiry, the following table (see next page) describes/defines the various statuses.
Provider Question Resolution Statuses
| Resolution Status | Used By | Used When | Means to Provider |
| Pending | Harmony user submitting PQ | PQ is initially submitted | The PQ has not yet been touched by MSU |
| Forward for Review | MSU PQ/Management Team | PQ has been assigned to the appropriate MSU resource | The PQ has been reas & assigned to MSU staff for resolution |
| In Progress | Assigned MSU staff | PQ is being worked by MSU assigned resource | The PQ is being worked by MSU staff. ** If response not received in 2 business days please see note on notes sub-tab of the PQ ticket for update on most recent actions to resolve PQ. |
| Management Review | MSU PQ Team | PQ has been forwarded to a member of the management team for a response | PQ has been forwarded to a member of the management team for a responce. |
| Provider Response Needed | Assigned MSU staff | PQ cannot be resolved without additional information from the provider | Additional information must be provided within one week or the PQ will be closed ** When adding additional information as requested, the Harmony user should add the information to the Additional Information Needed note on the Notes Sub-Tab of the PQ ticket to Resubmission on the PQ Sub-Tab |
| Resubmission | Harmony user that submitted PQ | Responding to a request for additional information ONLY | PQ has been resubmitted to the assigned MSU staff with updated information per request. |
| Complete | Assigned MSU staff | PQ ticket has been completed | PQ ticket has been completed and details of the resolution are give to the requestor |
Please send any questions regarding the information above through the Harmony PQ chapter.
