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Erroneous Rejections – Provider Not Enrolled Medicare, Medicaid, and Blues

Tuesday, Mar 4, 2008 - 04:19:23 PM

Important Message from MedAvant

Date Range:  03/03/2008 – 03/04/2008

Details:
We are experiencing a system issue causing erroneous rejections for various payers and an erroneous rejection message on the ‘REC’ reports.
We have determined the source of the error and are in the process of implementing the solution.  We apologize for the inconvenience this may have caused. We expect to have the issue resolved and the claims resubmitted today.

Claim Rejections:

The related error messages are:

PROVIDER NUMBER NOT ENROLLED AT MEDAVANT

     Affected Payer ID’s and Payer Names:
        BS048 –  Blue Shield - Arkansas
        MR055 – Medicare - Arkansas
        MC051 – Medi-Cal - California
        MC087 – Medicaid - New Jersey
        MPI01 –  Motion Picture Industry Health Plan
        MR048 - Medicare – Louisiana

SUBMITTER PRIMARY IDENTIFICATION NUMBER MISSING OR INVALID

     Affected Payer ID’s and Payer Names:
        BS011 - Blue Shield - Alaska
        BS047 - Blue Shield - Mississippi
        HM006 - Blue Cross - California Care - HMO (Encounters Only)
        MC026 - Medicaid - Iowa
        MR004 - Medicare - Colorado
        MR007 - Medicare - Nevada
        MR008 - Medicare - Arizona
        MR011 - Medicare - Oregon
        MR084 - Medicare - South Dakota
        BS010 - Blue Cross – Premera/ Blue Shield - Premera (formerly MSC)/ Premera Blue Cross(formerly Medical Services Corp)

REC Report:
The related error message found at the top of the report is:

PROVIDER: [XXXX] NOT ENROLLED AT MEDAVANT HEALTH
This message does not accurately identify a rejection. Check the totals at the bottom of the report for accurate rejection counts.

Submitter Actions:
MedAvant will resubmit these claims on your behalf.  No action is required.

Notification ID:  20080304-02