DVHA Covered Services Claims File. (DVHA or Fiscal Agent to Contractor) This file contains information related to claims submitted by Participating Providers for VMNG Program -covered services for all Attributed Members to the VMNG Program. The DVHA Covered Claims File contains DVHA’s disposition of the claim status which may be Zero-Paid Claims or denied with the denial reason. Fiscal Agent will continue to receive all claims from Vermont Medicaid providers. All claims will continue to be processed through DVHA’s edits and audits. Claims identified as the responsibility of the Contractor will be provided to the Contractor on an agreed upon schedule. The Contractor will then be responsible for any additional review of the claims and payment to Participating Providers for services rendered.
