Known Issues and Resolution Timeframes updated 2/01/2022

If you have a claim that should be included in one of the claim projects below (which you believe denied incorrectly) and it has not yet been adjusted, please let us know the claim number so that we can research it and confirm. You may email us or contact your Provider Relations Rep.

Open Issues

OPEN ISSUE DESCRIPTION	IMPACTED PROVIDER TYPE	ISSUE RESOLUTION STATUS	CLAIM PROJECT STATUS	TARGET COMPLETION DATE	CLAIM PROJECT #
n/a	n/a	n/a	n/a	n/a	n/a

ISSUE KEY	ISSUE RESOLUTION STATUS
Research	Issue under investigation to determine root cause
Solution Identified	Issue has been identified, but no system updates (to date) have been made
Full Resolution Deployed	Issue has been corrected in the system and all of the system updates have been made

CLAIM KEY	CLAIM PROJECT STATUS
In Process of project creation	Project under investigation to determine affected claims and providers
Project in Process	Claim project has been initiated, provide payment will begin within next 7 days
Project Complete	Claims included in the claim project have reprocessed. Note, this is not a guarantee of payment, during reprocessing claims may hit additional claim edits

For questions about global issues or the associated claims projects, please contact Provider Services or your Provider Relations representative.

Special Projects in Process

SPECIAL PROJECT NAME	PROJECT DESCRIPTION	ESTIMATED CLAIMS PROCESSING DATE	ACTUAL CLAIMS COMPLETION	PROJECT NUMBER
n/a	n/a	n/a	n/a	n/a

Recovery Projects

Recovery notice letters to be mailed to providers within 30 days of the project being submitted.

RECOVERY PROJECT NAME	PROJECT DESCRIPTION	RECOVERY ESTIMATED COMPLETION DATE	NOTIFICATION LETTERS SENT	PROJECT NUMBER
n/a	n/a	n/a	n/a	n/a

Completed Projects

Below is a listing of completed claim projects. If you have a claim that should be included in one of the completed claim projects below (which you believe denied incorrectly) and it has not yet been adjusted, please let us know the claim number so that we can research it and confirm. You may email us or contact your Provider Relations Rep.

COMPLETED ISSUE DESCRIPTION	IMPACTED PROVIDER SPECIALTY	ESTIMATED CLAIMS REPROCESSING DATE	ACTUAL CLAIMS COMPLETION DATE	PROJECT NUMBER
n/a	n/a	n/a	n/a	n/a