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Dial-Up Electronic Claim Submitters Must Change the Way They Connect by July 1, 2013
Prepare NOW for ICD-10 Implementation

Claims Issue Log

The following list provides you with the most current status of issues affecting processing of claims. Please check here often for updates before contacting the Provider Contact Center with questions.

expand blue Claims Issue LogExpand: Open Issues
expand blue Claims Issue LogExpand: Closed Issues
expand blue Claims Issue LogExpand: All Issues
print Claims Issue LogPrint
gear Claims Issue LogStatusReportedResolvedWorkload ImpactedIssue/Reason Code
expand blue Claims Issue LogOpen04/04/2013Part B - ProvidersG9156
expand blue Claims Issue LogOpen03/07/2013Part B - ProvidersPaper Claims
expand blue Claims Issue LogOpen02/15/2013Part B - ProvidersMSP issues with CR 7605
expand blue Claims Issue LogOpen08/10/2011Part B - Providers on MSP claimsMSP claims with deductible were potentially overpaid.
expand blue Claims Issue LogClosed10/22/201205/22/2013Part B - ProvidersProfessional Component codes STD CODE 96 and N70
expand blue Claims Issue LogClosed07/24/201205/22/2013Part B - ProvidersTC of Pathology Services
expand blue Claims Issue LogClosed05/02/201305/21/2013Part B - Providers247D
expand blue Claims Issue LogClosed04/03/201304/16/2013Part B - ProvidersApril 2013 Quarterly System Release - Claim Hold
expand blue Claims Issue LogClosed02/21/201303/14/2013Part B - Providers247D
expand blue Claims Issue LogClosed01/28/201302/25/2013Part B - ProvidersH51000
expand blue Claims Issue LogClosed01/23/201302/12/2013Part B - ProvidersADS letters
expand blue Claims Issue LogClosed01/13/201302/12/2013Part B - Providers190D
expand blue Claims Issue LogClosed01/07/201302/11/2013Part B - Providers257D
expand blue Claims Issue LogClosed01/29/201302/04/2013Part B - ProvidersOphthalmology procedures
expand blue Claims Issue LogClosed09/19/201202/04/2013Part B - ProvidersCWF
expand blue Claims Issue LogClosed07/19/201111/25/2012Part B - ProvidersAudit 855A (CWF error 5410) and Audit 870A (CWF error 8019)
expand blue Claims Issue LogClosed02/21/201211/13/2012Part B - Providers185 and N290
expand blue Claims Issue LogClosed09/14/201210/30/2012Part B - ProvidersJ10 eRx Remits
expand blue Claims Issue LogClosed08/22/201209/24/2012Part B - ProvidersFactor VIII code J7190 denying for dates of service 07/01/2012 and after, for claims received 7/1/2012 and after.
expand blue Claims Issue LogClosed11/22/201108/22/2012Part B - ProvidersMSP type 19 (worker's comp set aside)
expand blue Claims Issue LogClosed07/17/201208/14/2012Part B - ProvidersClaims for procedure 83861-QW denying in error with standard code message 4.
expand blue Claims Issue LogClosed05/21/201208/14/2012Part B - ProvidersAnesthesia codes denying if less than one number of services billed.
expand blue Claims Issue LogClosed05/01/201208/14/2012Part B - ProvidersProcedure codes 64613 and 64614 not accepting modifier 50 for 2012 dates of service
expand blue Claims Issue LogClosed03/14/201207/03/2012Part B - ProvidersNDC information not being crossed to the trading partner
expand blue Claims Issue LogClosed08/16/201106/27/2012Part B - ProvidersClaims with NAME/HIC mismatch errors from CWF.
expand blue Claims Issue LogClosed11/17/201105/15/2012Part B - ProvidersSeveral procedure codes were denied that should have paid when the bene is in a SNF.
expand blue Claims Issue LogClosed1214/00/201105/01/2012Part B - ProvidersPart B claims submitted with SNF beneficiaries have created unsolicited responses in error.
expand blue Claims Issue LogClosed03/30/201204/17/2012Part B - ProvidersPaper Remits
expand blue Claims Issue LogClosed02/15/201204/16/2012Part B - Providers026D
expand blue Claims Issue LogClosed02/24/201203/13/2012Part B - Providers2012 ASC Facility (Spec 49 only) fee schedule not most current
expand blue Claims Issue LogClosed07/11/201103/05/2012Part B - ProvidersTechnical component of pathology laboratory services provided to hospital patients by an independent laboratory
expand blue Claims Issue LogClosed02/06/201203/02/2012Part B - ProvidersPart B GA 01, spec 05/43 (anesthesia codes only)
expand blue Claims Issue LogClosed02/14/201202/14/2012Part B - ProvidersPart B Ambulance Claims for 2012-Only transports with a Point of Pickup (POP) Super Rural Zip Code
expand blue Claims Issue LogClosed10/06/201111/18/2011Part B - Providers5010 claims being suspended when HCT/HGB levels are submitted
expand blue Claims Issue LogClosed07/29/201110/06/2011Part B - ProvidersDevelopment Letters sent in error for CR 7011 adjustments with dates of service 01/01/10- 05/31/10.
expand blue Claims Issue LogClosed07/27/201110/06/2011Part B - ProvidersProcedure 80101
expand blue Claims Issue LogClosed09/15/201109/15/2011Part B - ProvidersNo electronic remittance advice (ERA) for paid date 09/16/11.
expand blue Claims Issue LogClosed08/23/201108/30/2011Part B - ProvidersEMC claims being denied in error based on MCS edit 026D. This edit validates the diagnosis codes submitted on a claim.
expand blue Claims Issue LogClosed01/14/201104/08/2011Part B - Providers that are certified to file preventive/screening services.HCPCS codes for preventive/screening services not subject to deductible.
expand blue Claims Issue LogClosed01/21/201102/09/2011Part B - ProvidersHCPCS codes G0438 and G0439
expand blue Claims Issue LogClosed11/16/201012/07/2010Part B - ONLY GA Locality 99 providersONLY Claims processed on 11/11/2010
expand blue Claims Issue LogClosed00/00/000008/31/2010Part B - All Alabama, Georgia, Tennessee, and Mississippi providersProcedure code J9035
expand blue Claims Issue LogClosed00/00/000007/13/2010Part B - All Alabama, Georgia, Tennessee, and Mississippi Clinical Laboratory providers (Specialty 69)Clinical Laboratory Claims were inadvertently held beginning June 1, 2010
expand blue Claims Issue LogClosed00/00/000005/27/2010Part B - All Alabama, Georgia, Tennessee, and Mississippi providersModifiers 76 and 59
expand blue Claims Issue LogClosed00/00/000002/01/2010Part B - All Alabama, Georgia, Tennessee, and Mississippi providersProcedure codes J0461, J0559, J0586, J0598, J0718, J0833, J0834, J1680, J2562, J2793, J2796, J7185, J7325, J9155, J9171, J9328, Q0138, and Q0139
expand blue Claims Issue LogClosed00/00/000001/26/2010Part B - All Alabama, Georgia, Tennessee, and Mississippi providersProcedure Code G9141
expand blue Claims Issue LogClosed00/00/000012/22/2009Part B - All Alabama, Georgia, Tennessee, and Mississippi providersMSP Claims
expand blue Claims Issue LogClosed00/00/000012/10/2009Part B - Ambulatory Surgical Centers (ASCs)All ASC procedure codes
expand blue Claims Issue LogClosed00/00/000009/02/2009Part B - All Tennessee IDTF providersMultiple IDTF procedure codes
expand blue Claims Issue LogClosed00/00/000004/27/2009Part B - All Alabama, Georgia, and Mississippi providersProcedure codes 96361, 96366, 96367, 96370, 96372, and 96375
expand blue Claims Issue LogClosed00/00/000004/10/2009Part B - All Alabama, Georgia, and Mississippi providersProcedure codes 93307, 93320, 93321, 93325, 33508, 96361, 96366, 96367, 96370, 96372, and 96375
expand blue Claims Issue LogClosed00/00/000001/23/2009Part B - All Georgia providersProcedure codes 77785, 77786, 93279-93293, 93306, and 95803
expand blue Claims Issue LogClosed00/00/000001/14/2009Part B - All Mississippi providersProcedure codes 95873-95874
expand blue Claims Issue LogClosed00/00/000001/14/2009Part B - All Alabama providersProcedure codes 95873-95874
expand blue Claims Issue LogClosed00/00/000001/14/2009Part B - All Alabama, Georgia, and Mississippi providersMultiple procedure codes
expand blue Claims Issue LogClosed00/00/000007/10/2008Part B - All Alabama, Georgia, and Mississippi providersLegacy qualifiers 1C & 1G
expand blue Claims Issue LogClosed00/00/000006/12/2008Part B - All Alabama, Georgia, and Mississippi providersProcedure code J2323 and chemotherapy administration code 96413
expand blue Claims Issue LogClosed00/00/000005/21/2008Part B - All Georgia ProvidersMultiple procedure codes
expand blue Claims Issue LogClosed00/00/000005/15/2008Part B - All Georgia ProvidersProcedure codes 01935 & 01936
expand blue Claims Issue LogClosed00/00/000005/13/2008Part B - All Georgia providersProcedure code 99219
expand blue Claims Issue LogClosed00/00/000005/09/2008Part B - All Georgia ProvidersProcedure code A9579
expand blue Claims Issue LogClosed00/00/000005/08/2008Part B - All Alabama providersMultiple procedure codes
expand blue Claims Issue LogClosed00/00/000005/07/2008Part B - All Georgia ProvidersProcedure code 77418
expand blue Claims Issue LogClosed00/00/000005/05/2008Part B - All Alabama providersProcedure code 77373
expand blue Claims Issue LogClosed00/00/000005/05/2008Part B - All Georgia ProvidersProcedure code 71010
expand blue Claims Issue LogClosed00/00/000005/01/2008Part B - All Alabama providersProcedure codes 99341-99345
expand blue Claims Issue LogClosed00/00/000005/01/2008Part B - All Georgia ProvidersProcedure code 33249, modifier Q0, and diagnosis codes V5332, 4271, 42741, 42742, 4275, 4279, or 99604
expand blue Claims Issue LogClosed00/00/000004/29/2008Part B - All Georgia ProvidersProcedure code 77414
expand blue Claims Issue LogClosed00/00/000004/25/2008Part B - All Georgia ProvidersAll physical therapy procedure codes with modifiers GN, GO, and GP with a place of service 49
expand blue Claims Issue LogClosed00/00/000004/23/2008Part B - All Georgia ProvidersMultiple procedure codes
expand blue Claims Issue LogClosed00/00/000004/22/2008Part B - All Georgia providersAnesthesia procedure codes
expand blue Claims Issue LogClosed00/00/000004/16/2008Part B - All Alabama providersAll codes
expand blue Claims Issue LogClosed00/00/000004/16/2008Part B - All Alabama ProvidersProcedure codes 01935 & 01936
expand blue Claims Issue LogClosed04/02/200804/10/2008Part B - All Georgia and Mississippi providers receiving paper checks and remittancesAll
expand blue Claims Issue LogClosed00/00/000004/08/2008Part B - All Mississippi and Georgia ProvidersProcedure codes 88311-88314
expand blue Claims Issue LogClosed00/00/000004/07/2008Part B - All Alabama ProvidersModifier Q0
expand blue Claims Issue LogClosed00/00/000004/02/2008Part B - All Georgia ProvidersProcedure codes 99211, 99212, 99213, 99214, and 99215
expand blue Claims Issue LogClosed00/00/000003/28/2008Part B - All Alabama ProvidersProcedure code J3488
expand blue Claims Issue LogClosed00/00/000003/26/2008Part B - All providersProcedure code J1561
expand blue Claims Issue LogClosed00/00/000003/26/2008Part B - All Georgia ProvidersProcedure code 77421
expand blue Claims Issue LogClosed00/00/000003/20/2008Part B - All Georgia ProvidersProcedure code 36415
expand blue Claims Issue LogClosed00/00/000003/18/2008Part B - All Mississippi ProvidersProcedure code Q9967
expand blue Claims Issue LogClosed00/00/000003/18/2008Part B - All Georgia ProvidersProcedure code 72192
expand blue Claims Issue LogClosed00/00/000003/18/2008Part B - All Georgia ProvidersProcedure code 64555
expand blue Claims Issue LogClosed00/00/000003/17/2008Part B - All Georgia ProvidersProcedure code J9303
expand blue Claims Issue LogClosed00/00/000003/14/2008Part B - All Georgia ProvidersProcedure code Q9967
expand blue Claims Issue LogClosed00/00/000003/09/2008Part B - All Mississippi ProvidersProcedure code 99214
expand blue Claims Issue LogClosed00/00/000003/08/2008Part B - All Georgia ProvidersProcedure codes 17315 and G0275
expand blue Claims Issue LogClosed00/00/000003/07/2008Part B - All Georgia ProvidersProcedure code 70553
expand blue Claims Issue LogClosed00/00/000003/05/2008Part B - All Mississippi ProvidersProcedure code 83037
expand blue Claims Issue LogClosed00/00/000003/05/2008Part B - All Georgia ProvidersProcedure code 43248 and diagnosis 78720
expand blue Claims Issue LogClosed00/00/000003/03/2008Part B - All Mississippi and Georgia ProvidersProcedure codes 22840-22848 and 22851
expand blue Claims Issue LogClosed00/00/000003/03/2008Part B - All Alabama ProvidersProcedure code G0275
expand blue Claims Issue LogClosed00/00/000003/03/2008Part B - All Georgia ProvidersProcedure code G0289
expand blue Claims Issue LogClosed00/00/000003/03/2008Part B - All ProvidersProcedure code G0278
expand blue Claims Issue LogClosed00/00/000002/29/2008Part B - All Alabama ProvidersProcedure codes 22840-22848 and 22851
expand blue Claims Issue LogClosed00/00/000002/28/2008Part B - All Mississippi providersProcedure code 80048 and diagnosis codes 238.71-238.76, 238.79, 995.20 995.27, and 995.29
expand blue Claims Issue LogClosed00/00/000002/28/2008Part B - All Alabama ProvidersProcedure codes 88311-88314
expand blue Claims Issue LogClosed00/00/000002/26/2008Part B - All Georgia ProvidersProcedure code J2550
expand blue Claims Issue LogClosed00/00/000002/26/2008Part B - All Georgia ProvidersProcedure code 83036
expand blue Claims Issue LogClosed00/00/000002/25/2008Part B - All Georgia ProvidersProcedure code 84153
expand blue Claims Issue LogClosed00/00/000002/15/2008Part B - All Georgia ProvidersMultiple procedure codes
expand blue Claims Issue LogClosed00/00/000002/13/2008Part B - All Georgia ProvidersProcedure code 99213
expand blue Claims Issue LogClosed00/00/000002/11/2008Part B - All Georgia ProvidersProcedure codes 97035 and 97033
expand blue Claims Issue LogClosed00/00/000002/08/2008Part B - All Alabama ProvidersProcedure code 95874
expand blue Claims Issue LogClosed00/00/000002/07/2008Part B - All ProvidersProcedure codes 75894, 75896, 75961, 75962, 75964, 75901, 75902 (type of service 6), and 75902 (type of service 1)
expand blue Claims Issue LogClosed00/00/000002/04/2008Part B - All Georgia ProvidersProcedure code 50590 (type of service F)
expand blue Claims Issue LogClosed00/00/000002/01/2008Part B - All ProvidersAll
expand blue Claims Issue LogClosed00/00/000001/31/2008Part B - All Georgia and Mississippi Providers receiving paper checks (providers who receive Electronic Remittance Advice and Electronic Funds Transfer were not impacted)All
expand blue Claims Issue LogClosed00/00/000001/22/2008Part B - All Georgia ProvidersProcedure code 97110
expand blue Claims Issue LogClosed00/00/000011/01/2007Part B - All ProvidersProcedure codes J0881, J0882, J0885, J0886, and Q4081 (ARA NESP and Procrit)