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