Optical Character Recognition Misreading Referring Provider Names
Date Reported:
09/09/2022
Date Resolved:
10/01/2022
Status:
Closed
Provider Types Impacted:
Jurisdiction K and Jurisdiction 6 Part B providers
Reason Code(s):
D92
Claim Coding Impact:
002L
Description of Issue
OCR software is misreading the referring/ ordering provider name (item 17) on some Part B claims.
National Government Services Action
National Government Services is pulling weekly reports from 4/11/2022 to present, to identify claims on which 0021 was denied although valid information had been submitted. These claims will be reprocessed by NGS.
Provider Action
No provider action needed.
Proposed Resolution/Fix
Affected claims were identified and reprocessed.