KNOWN ISSUE: Cigna Claims Have Rejection
We have received notice from the clearinghouse that claims sent to Cigna after August 19, 2017 with any of the following diagnoses were rejected in error:
| • N63 • T1491 • A047 • T148 • P293 • Z36 • C962 • K913 • M4806 • P838 • T1490 • I272 • T07 • K5660 • K5669 • O0020 • O0010 | • H5442
• K565 • D470 • H5441 • Q5321 • Q5311 • H542 • E858 • H5452 • H540 • H5411 • H5412 • O0021 • P918 • H5451 • K060 • O0011 |
The affected claims were rejected with the following rejection messages:
A3:254 - Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system. Principal Diagnosis Code for Service(s) Rendered.
A3:255 - Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system. Diagnosis Code for Service(s) Rendered.
If this applies to you:
Cigna is working to resolve the issue.
• Claims that rejected on or after 08/20/2017 will be identified and corrected.
• No action is needed. Estimated Completion Date: TBD
• An updated batch report will be sent upon the correction of the rejected claims.
Thank you!
Ответ
This is resolved.
Per the clearinghouse, this was officially considered resolved on 9/3/17 which is sooner than the anticipated date of 9/6/17. Cigna has started to replay the affected claims. If you had any claims impacted by this issue, you should see a new response in the Electronic Module over the next few days.
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This is resolved.
Per the clearinghouse, this was officially considered resolved on 9/3/17 which is sooner than the anticipated date of 9/6/17. Cigna has started to replay the affected claims. If you had any claims impacted by this issue, you should see a new response in the Electronic Module over the next few days.