Assigning the ‘PROVIDER-TERMINATED’ Status at the Customer Level

10.2 – Assigning the ‘PROVIDER-TERMINATED’ Status at the Customer Level (Rev. 13708; Issued: 04-02-26; Effective: 07-06-26; Implementation: 07-06-26) When the contractor utilizing HIGLAS has verified in the Shared System, PECOS, or Provider Enrollment that a provider is terminated, the contractor shall apply the ‘PROVIDER-TERMINATED’ status code at the customer level which will cascade the ‘PROVIDER-TERMINATED’ status to all of the customer’s eligible accounts receivable. HIGLAS will not cascade the ‘PROVIDER-TERMINATED’ status code to the AR transaction status codes that are exempt from Treasury referral. The contractor shall monitor the provider’s status monthly, for five consecutive months, to determine if the provider has appealed a revocation or has been removed from the Terminated/Revoked status.