I have a lot of claims in 'S' status with reason code 30928. Can someone explain why my claims are being held?

Answer: In order for a claim to be processed as Medicare primary or secondary, the claim must coincide with the information on the Common Working File (CWF). When a claim is rejected due to conflicting information on CWF, providers should wait until the CWF is updated before submitting any additional claims for that beneficiary. Palmetto GBA is holding claims for up to 75 days for the CWF to be updated.

Claims will be returned to the provider requesting CWF review prior to resubmission. Once the record on CWF is updated, the provider should submit the claim at that time.

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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