RC 34963 – Provider Enrollment Issue
Date Reported:
08/21/2023
Date Resolved:
08/30/2023
Status:
Closed
Provider Types Impacted:
Jurisdiction 6 and Jurisdiction K Part A Providers
Reason Code(s):
RC 34963 RTPs
Claim Coding Impact:
N/A
Description of Issue
An issue in the PECOS is causing some Part A claims to RTP in error with RC 34963.
National Government Services Action
NGS has confirmed with PECOS that this issue has been resolved.
Provider Action
If the Attending Provider reported by your facility on a claim with RC 34963 (which is in your RTP location TB9997 in FISS) is valid, accurate and in PECOS, and the claim’s through date is not equal to or greater than the Attending Provider’s termination date in PECOS, please PF9 the claim to return it to NGS for processing.
Proposed Resolution/Fix
Resolved 8/30/2023