Claims Processing Alert - Liability Related Denials -
July 11, 2008

Home MAC Provider Publications

WPS Medicare has identified a claims processing issue, which began on June 26, 2008. This issue has caused a number of claims to erroneously deny with an OA-121, -21, or a PR-19, indicating the beneficiary has liability insurance. We have identified the root cause for this system-generated denial and have taken the necessary steps to correct the problem. WPS Medicare placed a temporary fix into the system on July 10, 2008, which will cause future submitted claims to suspend for manual review. Providers may continue to see the denials for a short period until all claims currently in the system are finalized. At this time, we are advising providers to resubmit those claims they believe were denied in error.

Page Last Updated: Friday, 11-Jul-2008 10:42:59 CDT