Billing Beat

Medical and crossover Part B claims processing inappropriately

January 30, 2015

HP has identified an issue with the claims processing system. This issue affects claims processed December 24, 25, 26, and 29, 2014. Claims may have been inappropriately paid or denied due to NCCI editing and/or prior authorization issues. If claims were inappropriately paid or denied with other EOBs, they will be corrected as well. HP began reprocessing and mass adjusting claims associated with this issue December 24, 2014. Providers will see adjusted and reprocessed claims appear on Remittance Advices (RAs) dated January 6 and January 13, 2015.

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