Production Alert Details

Part A 11X Claims Returned to Provider

Date Reported:
Date Resolved:
Provider Types Impacted:

Jurisdiction 6 and Jurisdiction K Part A Providers

Reason Code(s):
Claim Coding Impact:
11X claims with ICD-10 diagnosis code Z515

Description of Issue

11X claims with DOS prior to 10/1/2021 with ICD-10 diagnosis code Z515 and POA indicator of Y have RTP with edit message 34931.

National Government Services Action

Previously returned RTP claims should be resubmitted after the fix is implemented 10/15/2021. Claims that have been held as a result of this issue will be released for processing by National Government Services after the 10/15/2021 fix.

Provider Action

No provider action is indicated at this time,however, please continue to check for future Email Updates.

Proposed Resolution/Fix