Claim Denial for HCPCS Code U0005 - Resolved 04/01/21

Provider/Supplier Type(s) Impacted: Not applicable

Reason Codes: Not applicable

Claim Coding Impact: U0005

Description of Issue: Claims with HCPCS Code U0005 denying incorrectly for missing referring provider information. This HCPCS Code does not require a referring provider to be submitted on the claim.

Noridian Action Required: Adjustments will be completed to reprocess claims denied incorrectly.

Provider/Supplier Action Required: No action is required.

Proposed Resolution/Solution: The claims processing system was updated. Noridian will conduct mass adjustment to claims denied incorrectly.

03/03/21 - Mass adjustments are initiated.

03/12/21 - Some of the mass adjusted claims denied in error with CARC 234, and RARCs N122 and N211. Noridian has updated the system logic and will re-adjust the impacted claims.

04/01/21 - The additional mass adjustments are initiated.

Date Reported: 02/23/21

Date Resolved: 04/01/21


Last Updated Tue, 06 Apr 2021 14:13:31 +0000