Part A 11X Claims Returned to Provider
Date Reported:
10/15/2021
Date Resolved:
10/15/2021
Status:
Closed
Provider Types Impacted:
Jurisdiction 6 and Jurisdiction K Part A Providers
Reason Code(s):
N/A
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
10/15/2021