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Claims denied in error for EOB codes 4183 and 9999

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Claims denied in error for EOB codes 4183 and 9999

The Indiana Health Coverage Programs (IHCP) has discovered a system issue causing some claims to deny incorrectly with one of the following explanation of benefits (EOB) codes:

  • 4183 - Units of service on the claim exceed the Medically Unlikely Edit (MUE) allowed per date of service
  • 9999 - Paid as Billed

HP is diligently working to correct this issue. Once the error is corrected, all affected claims will be reprocessed. Providers will not need to resubmit denied claims. Providers will be notified when the error is corrected and informed of the reprocessing time frame.