Influenza (Flu) Vaccine Denials - Resolved 11/01/24

Provider/Supplier Type(s) Impacted: All

Reason Codes: Not applicable.

Claim Coding Impact: Vaccine and Influenza

Description of Issue: Noridian is aware that this season’s influenza codes, and their admins (G0008-G0009) not processing based on the current CMS Influenza season code list. This issue impacted claims with dates of service on/after August 1, 2024. All system updates for influenza codes are implemented during the fall of each year. All updates have been completed and all incorrectly denied or mispriced influenza codes for this season will be reprocessed.

Noridian Action Required: The system update was completed on September 12 to no longer deny the impacted procedure codes for dates of service on/after August 1, 2024. Noridian will conduct a mass adjustment for claims denied in error.

Provider/Supplier Action Required: None

Proposed Resolution/Solution:

11/01/24 – Noridian initiated mass adjustments on or before 10/31/24.

10/17/24 - Noridian started initiating mass adjustments on 09/16/24. Noridian will provide another update once all mass adjustments have been initiated.

09/27/24 - Noridian started initiating mass adjustments on 09/16/24.

Date Reported: 09/12/24

Date Resolved: 11/01/24

Last Updated Nov 07 , 2024