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EDI Status

Claims Processing Issues LogClaim Payment Alerts

Please reference this page for information about confirmed, system-related issues before you reach out to the Provider Contact Center. Click on the description to view details and check back often for updates that we post when they become available.

Closed issues remain on the active log for approximately 60 days before they move to the resolved issues archive list at the bottom of the page.

If you still have questions, please contact the Provider Contact Center or use one of our self-service tools.

Date Reported Description of Issue
08.15.2024 Reason Code U538H: An Eligibility Database (EDB) update that incorrectly identifies some beneficiaries as incarcerated caused the Common Working File (CWF) to reject claims in error.
07.29.2024 Reason Code 32073: A system outage at the Virtual Data Center (VDC) caused claims for outpatient services to return to the provider (RTP) in error.
07.09.2024 July 2024 remits are currently unavailable.
07.03.2024 Reason Codes 326XX: One or more payer only codes may assign to a claim and cause it to return to provider (RTP) in error.
04.23.2024 An incorrect status indicator assigned to outpatient claims with a line-item date of service on or after 1.1.2024 and CPT code 0621T or HCPCS code J7353.

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