Alerts Details - JE Part B
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