Alerts Details - JE Part A
A4657 Rate Impacting Outlier Calculation - Resolved 07/13/21
Provider/Supplier Type(s) Impacted: ESRD 72X Type of Bill in California only
Reason Codes: Not applicable
Claim Coding Impact: A4657
Description of Issue: Noridian identified an issue with the rates for A4657 not populating, which impacts the calculation of claim payments. The issue only impacts California claims for the following Carrier/Localities: 01112/51-70 and 75, and 01182/71-74. Only claims that resulted in payment errors will be adjusted.
Noridian Action Required: Noridian is reprocessing impacted claims for dates of service 02/01/18 through 12/09/20.
05/27/21 - Mass adjustments are initiated.
06/04/21 - Noridian identified additional claims that were not adjusted with the initial mass adjustment. Noridian will be adjusting the remaining claims.
07/13/21 - The additional claims were adjusted.
Provider/Supplier Action Required: No action required.
Proposed Resolution/Solution: Noridian is mass adjusting claims.
Date Reported: 04/21/21
Date Resolved: 07/13/21
Last Updated Tue, 13 Jul 2021 21:05:28 +0000