Medical and dental claims processing inappropriately
HP has identified an issue with the claims processing system.
This issue affects claims processed December 24, 25, and 26, 2014.
Claims may have been inappropriately paid or denied. Providers will
see the following explanation of benefits (EOB) codes on their
Remittance Advices (RAs):
- 4184 - Claim successfully processed through NCCI editing
during recycle process. Therefore, appropriate EOB's will be posted
applicable to claim
- 4185 - The claim did not process through National Correct
Coding Initiative (NCCI) editing. The claim will be reprocessed or
adjusted at a later date. Please monitor future Remittance Advice
statements for processing activity related to this claim
HP is reprocessing and mass adjusting all claims associated with
this issue as of today. Providers will begin seeing reprocessed and
adjusted claims on Remittance Advices (RAs) as of Tuesday, January