0362660 Current processing issues for Part A and Part B skip to content
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Last Modified: 6/12/2017 Location: FL, PR, USVI Business: Part A, Part B
Current processing issues for Part A and Part B
The table below provides an at-a-glance look at processing issues being worked currently or resolved recently. To sort by line of business (LOB), status, or date last updated, click on that column's header. Click again to change between ascending or descending order.
LOB
Issue
Resolution
Status
Provider Action
Last Updated
Part A
Claims that were worked out of suspense for reason code 32103 are now RTPing with reason code 34932. Claims will go to status location SB9000 once the appropriate End POA ind has been added.
Open.
Providers whose claims were RTPed with reason code 34932 may resubmit (PF9) those affected claims with the appropriate End POA Ind.
5/19/2017
Part A
An error occurred with the National Provider Identifier (NPI) crosswalk file in the fiscal intermediary shared system (FISS) on May 16, 2017. Claims are being returned to the provider (RTP) with reason code 32103 or 32104.
Closed.
Providers should resubmit (F9) claims that were RTPed. Claims being held in this location are being released for processing.
5/24/2017
Part A
First Coast has become aware of issues with outpatient prospective payment system (OPPS) services due to Integrated Outpatient Code Editor (IOCE) logic errors. This problem has been resolved with IOCE logic corrections in the April 2017 quarterly release
Open.
Providers should resubmit claims for the situations and qualifications listed here.
5/1/2017
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