Article Detail - JE Part B
CLIA Lab B7 Denials - Resolved 10/17/24
Provider/Supplier Type(s) Impacted: Lab providers
Reason Codes: Not applicable.
Claim Coding Impact: Lab services
Description of Issue: Noridian is aware of an claims processing issue involving lab services denying incorrectly with CARC B7, "This provider was not certified/eligible to be paid for this procedure/service on this date of service". The issue impacted claims processed within our systems on 09/24/24 through 09/25/24. The issue currently being researched.
Noridian Action Required: Noridian adjusted the impacted claims on 10/16/2024.
Provider/Supplier Action Required: Please allow two weeks for the adjustments to process. Providers should review the adjusted claims on their Remittance Advice (RA) for the claims processing determination.
Proposed Resolution/Solution: Noridian adjusted the impacted claims on 10/16/2024.
Date Reported: 09/26/24
Date Resolved: 10/17/24
