Article Detail - JF Part A
CAH Claims Receiving Reason Code 31006 or 31007 in Error
Provider/Supplier Type(s) Impacted: Method II Critical Access Hospitals (CAHs)
Reason Codes: 31006 and 31007
Claim Coding Impact: Not applicable.
Description of Issue: CAH claims are receiving reason codes 31006 or 31007 in error when the reassigned physician’s National Provider Identifier (NPI) is accurately reported in the Provider Enrollment, Chain and Ownership System (PECOS).
Noridian Action Required: Noridian inactivated reason codes 31006 and 31007 until the issue is corrected.
Provider/Supplier Action Required: Not applicable.
Proposed Resolution/Solution: Noridian will adjust the impacted claims on/before 08/26/2025.
08/28/25 - Noridian initiated adjustments on 08/18/25, however another mass adjustment must be initiated. Noridian will provide an update when the additional mass adjustment has been initiated.
Date Reported: 08/13/25
Date Resolved:
