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Kentucky Medicaid - Kymmis.com

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FAQ’S Cont.<br />

Internal Control Number (ICN)<br />

All claims, adjustment and Voids are given a unique number.<br />

First two digits are the Region, Second 2 digits is the Year the<br />

claim was received and the 3 rd three digits are the Julian Date<br />

of receipt.<br />

*Example 2009061123456-Claim received as an electronic claim,<br />

March 2, 2009.<br />

If the ICN begins with:<br />

10-Paper claim with no attachments<br />

11-Paper claim with attachments<br />

20-Electronic claim<br />

22-KyHealth billed claim<br />

50-Adjustment<br />

56-Claim Void<br />

Cabinet for Health and Family Services<br />

29

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