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Claims to be reprocessed
November 8, 2011
The following claims were handled incorrectly and will be reprocessed. Providers do not need to resubmit these.
Claims for Temporal Mandibular Joint (TMJ) care were denied incorrectly for lacking Prior Authorization. Codes include:
21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21172, 21179, 21180, 21181, 21182, 21183, 21184, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21208, 21209, 21210, 21215, 21230, 21235
Claims for procedure code A6549 were denied incorrectly for MaineCare members who also have Medicare.
System-initiated claim adjustments were denied incorrectly for being past the timely filing deadline.
