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Subject: Reprocessing of Claims
Banner Date: October 13, 2017
Cycle: 16
Provider Type/Specialty: Specific Providers
 
Subject: Reprocessing of Claims
 
The Department of Human Services identified a claims processing error where certain claims with emergency services were denied incorrectly on Error Status Code 1237 - EMG SERVICE - REFERRING PROV NOT REVALIDATED - DTL. This condition occurred on specific claims processed between April 1, 2017 and October 5, 2017.
 
If one or more of your claims were affected, the reprocessed claim can be identified by the following ICN range: 8017283004501 through 8017283004520 and 8517283061011 through 8517283063217.
 
Please note that reprocessing of the claims does not guarantee payment. If there are other issues or billing errors associated with these claims, you will receive a denial specific to those issues or errors.
 
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