[
The Claims Resolution Matrix is to be used as a reference tool to
troubleshoot rejected institutional and professional claims that have been
submitted electronically (i.e., submitted via 837I/837P transaction).
The matrices have been updated to reflect a recent change:
All non-migrated claims with dates of service on or before September
30, 2015, will reject on a 277CA transaction if timely filing rules
are not satisfied.
This new rejection has been added to our Institutional
and Professional
Claims Resolution Matrix documents, which can be found on the Trading Partner Business Center.
Note: Providers will continue to receive timely filing denials on
their Provider Explanation of Benefits (professional) or Provider Remittance
(facility) for migrated claims.
If you have any questions regarding these updates, please contact your
Network Coordinator.
]