PAP Masks Denied Incorrectly - Resolved 03/08/24

Provider/Supplier Type(s) Impacted: All

Reason Codes: Not applicable.

Claim Coding Impact: A7027, A7030, A7034, A4604 and A7037

Description of Issue: Accumulation File Number (AFN) update for codes A7027, A7030, A7034, A4604 and A7037 caused incorrect denials.

Noridian Action Required: Noridian will complete system updates to prevent incorrect denials.

Provider/Supplier Action Required: No provider/supplier action required.

Proposed Resolution/Solution: Once the system updates are implemented, Noridian will initiate a mass adjustment.

03/08/24 - Noridian updated the system logic on 02/14/24. Noridian initiated mass adjustments on 03/07/24.

Date Reported: 02/29/24

Date Resolved: 03/08/24

Last Updated Jun 20 , 2024