Article Detail - JF Part A
Sequestration Calculation Error
Provider/Supplier Type(s) Impacted: Outpatient Claims
Reason Codes: Not Applicable
Claim Coding Impact: Not Applicable
Description of Issue: FISS has identified an issue in which sequestration was calculated incorrectly on certain claims submitted on or after April 17, 2026, through April 28, 2026, resulting in underpayments. FISS is developing a utility to identify and reprocess all affected claims that were paid incorrectly due to this issue.
Noridian Action Required: Noridian is monitoring this issue and will ensure all affected claims are reprocessed through the FISS utility.
Provider/Supplier Action Required: Not applicable.
Proposed Resolution/Solution: Not applicable.
Date Reported: 5/6/26
Date Resolved: