States applicable to alert:
Hawaii, Nevada, Guam, American Samoa, Northern Mariana Islands, Northern California and Southern California
Background information:
Claims were denied with incorrect message that instructed the provider to send the claim to another payer.
Applies to procedure code:
21088
Modifier:
N/A
Remark/reason codes:
109 – The claim is not covered by this payer or contractor. You must send the claim to the correct payer or contractor.
MAC action:
A mass adjustment will be performed for claims denied with the incorrect message.
Provider action:
Date reported:
4/8/09
Date resolved:
Open