First Coast is aware of a problem with the HIPAA Eligibility Transaction System (HETS) Medicare Secondary Payer (MSP) data, where new or updated data is not being returned. A resolution has been identified and CMS expects this issue to be resolved by later November.
Entitlement dates were missing from new and/or updated beneficiaries processed at CWF between October 7 and October 9, 2019. This caused claims to reject incorrectly with CWF error code 5200.
Due to a system error, some claims for nonparticipating providers were paid incorrectly resulting in overpayments. These claims will be reprocessed and overpayment letters will be issued.
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