Clinical Lab Claims Denied in Error - Resolved 01/08/26

Provider/Supplier Type(s) Impacted: Labs

Reason Codes: Not applicable.

Claim Coding Impact: Not applicable.

Description of Issue: Certain claims for clinical laboratory (CLIA) tests were incorrectly denied for dates of service on or after October 1 - December 1, 2025. These claims denied with CARC B7 and RARC N95.

Noridian Action Required: Claims will be reprocessed. No further action is required from providers at this time.

01/08/26 - Noridian initiated mass adjustments to reprocess the claims.

Provider/Supplier Action Required: Not applicable.

01/08/26 - No provider action is needed to correct the claims. Providers should follow the regular process for paying any overpayments on the claims that denied in error.

Proposed Resolution/Solution: Claims will be reprocessed via mass adjustments.

01/08/26 - Noridian initiated mass adjustments to reprocess the claims.

Date Reported: 12/16/25

Date Resolved: 01/08/26

Last Updated Jan 08 , 2026