Alerts Details - JD DME
Express Adjustment for Oral Anticancer Drug Codes - Resolved 07/28/20
Provider/Supplier Type(s) Impacted: All
Reason Codes: Not applicable
Claim Coding Impact: Oral anticancer drug codes
Description of Issue: Claims for Oral Anticancer drug codes received 05/06/20 - 06/05/20 were processed and denied as noncovered although valid information was present on the claim.
Noridian Action Required: Noridian updated claims processing logic for Oral Anticancer drug codes. Noridian will be mass adjusting claims with date of receipt from 05/06/20 - 06/05/20 for the Oral Anticancer drugs that denied in error.
Provider/Supplier Action Required: Not applicable
Proposed Resolution/Solution: Noridian is mass adjusting claims with date of receipt from 05/06/20 - 06/05/20 that denied incorrectly.
07/28/20 - Noridian has finished initiating the adjustments.
Date Reported: 07/09/20
Date Resolved: 07/28/20
Last Updated Wed, 05 Aug 2020 19:12:18 +0000