Riverbend


 

FISS Hold Locations

As of September 11, 2008

The following list of hold locations will provide the most current status of hold location issues.  Please visit our Web Site often for updates before contacting the Provider Contact Center with questions.  This is not an all inclusive list.


Reason Code

Type of Bill Affected

Hold Location

Total Volume

Reason for Holding

Status

 

75091

13X

SM0091

 

45

Claims being held for dates of service on or after April 1, 2008 containing HCPC Q0091 for type of bill 12X, 13X and 85X.

.

Awaiting response from CMS

   11X, 21X  SMTKBK  34 Duplicate claims "Z"records rejecting in error
  Awaiting correction from FISS

32438

 13X

 SMPTSC

 23

 Cliams receiving code 32438 in error when billed with two different PT scans on the same day.
 Awaiting correction from FISS

36330

13X

 

SM1580


 

19

ESRD claims rolling EPO lines together and then receiving reason code 36330.

Awaiting correction from FISS.

 

37513

12X

 SM3751

 

3

 

Claims receiving 37513 in error.


 Awaiting correction from FISS.

 37025

 11C

 SMCSRD

 2

 Claims receiving 37025 in error.
 Awaiting correction

37182

11X, 13X, 14X

SM7182

 

19


Cancels receiving 37182 in error.

 Awaiting correction from CMS.

 36500

 12X

 SM6198

 1

 Holding claims with HCPC A6198 and charges in non-covered.  Claims are receiving 36500 incorrectly. Awaiting correction from CMS

Page modified:September 11, 2008