Claims being reprocessed

August 23, 2011

Claims for the following services or codes were previously paid or handled incorrectly. These claims are being re-processed by the claims system, and will appear on Remittance Advice (RA) statements in the next few weeks. Providers do not need to resubmit these claims.

  • PCCM physician claims: procedure code 99222
  • Laboratory services: procedure code G0434 and G0430
  • Dental services: procedures performed in hospitals
  • Oral surgery: procedure codes in series D7***
  • Podiatry claims: procedure code 99213