CHA News Article

DHCS Announces Erroneous Payment Corrections for First Quarter 2014

The Department of Health Care Services (DHCS) has announced that its fiscal intermediary, Xerox State Healthcare, will reprocess claims in the first quarter of next year for those crossover claims that were erroneously denied with remittance advice details (RAD) codes 0002 (recipient not eligible for benefits under Medi-Cal or other special programs) and 0314 (recipient not eligible for the month of service billed). DHCS also reports that the system problem that caused the erroneously denied claims has been corrected, and that providers do not need to take any action. Reprocessed claims will appear on providers’ RAD reports.