New Explanation of Benefit (EOB) Codes for Manually Priced Claims

The Department of Social Services (DSS) is pleased to announce that new Explanation of Benefit (EOB) code messages will be added for claims containing Manually Priced procedure codes. The purpose of these new codes is to better assist providers with the current status of a manually priced claim that was submitted to DXC Technology. Manually priced claims will continue to suspend for edit 6000 – “Suspended Manually Priced Claim Currently Under Review”. However, beginning on August 1, 2017, providers will begin to see some new EOB code messages.

Source: https://www.ctdssmap.com/CTPortal/Information/Get Download File/tabid/44/Default.aspx?Filename=PB17_43.pdf&URI=Bulletins/PB17_43.pdf