Billing Beat

Fee-for-service professional claim reprocessing planned for December 11, 2015

December 30, 2015

The weekend of December 11, 2015, the Oregon Health Authority (OHA) started to recover overpayments from a small number of professional claims paid from October 1, 2015 through October 31, 2015. In October, their system incorrectly paid for some claims that included a non-covered primary diagnosis code. They have corrected this error, but now need to reprocess affected claims to recover the incorrect payments.. Each Internal Claim Number (ICN) will have an adjustment ICN (beginning with “52”) to indicate reprocessing activity. No action is required on your part.

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