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- 2022 RA Banner Announcements Archived
Banner Effective DateProvidersBanner Page Announcement
01/07/2022-01/14/2022Attention All ProvidersAttention All Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The claims were reprocessed to reflect the client's true (permanent) 9-digit Connecticut Medical Assistance Program (CMAP) ID. The claims which processed under a temporary client ID will be recouped and appear on the January 11, 2022 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52 and Explanation of Benefits (EOB) code 8239 "ACA CLIENT TEMP ID REPLACED WITH CMAP ID. NEW CLAIM WILL BE SYSTEMATICALLY GENERATED". The new claims will also appear on the January 11, 2022 RA with an ICN beginning with region code 27.
01/07/2022-01/14/2022Attention Outpatient Hospital ProvidersAttention Outpatient Hospital Providers. REPROCESSED THIS CYCLE: Gainwell Technologies had identified an issue with Ambulatory Payment Classification (APC) weights that were incorrectly uploaded as whole numbers with the CMAP Addendum B updates on October 28, 2021. The APC weights were restored to their correct values on November 9, 2021 and any claims processed as of November 10, 2021 and forward used the correct APC weight values. Most impacted claims were systematically mass adjusted and appeared on the hospital's December 21, 2021 Remittance Advice (RA). However, a subset of impact claims remained to be systematically mass adjusted. Those will appear on the hospital's January 11, 2022 Remittance Advice (RA) with an Internal Control Number (ICN) region code of 55. Claims that originally processed with the correct weights that are currently in suspense will be systematically de-selected from the mass adjustment and will no longer appear for providers if there were no valid APC data changes related to the October Addendum B updates.
01/07/2022-01/14/2022Attention All ProvidersAttention All Providers. REPROCESSED THIS CYCLE: It has come to the Department of Social Services' (DSS') attention that there are claims that electronically crossed-over directly from Medicare to the Connecticut Medical Assistance Program (CMAP) between December 23, 2021 through January 3, 2022 that are denying for Explanation of Benefits (EOB) code 2513 - "Other Payer Adjudication Date is Invalid." Medicare has communicated that due to the recent holidays, there was a delay in their batch claims cycle(s), resulting in the Medicare payment date being later than the date the claims crossed over to CMAP. Claims that set this edit due to the delay in Medicare's payment date(s) were systematically identified and reprocessed and will appear on the hospital's January 11, 2022 Remittance Advice (RA).
  
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+ 2020 RA Banner Announcements Archived
  
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