Update to Issue with Claims Retroactively Voided with EOB 06125

As previously announced, some providers experienced issues with claims being retroactively voided or recouped in the Nov. 30, 2021, checkwrite with Explanation of Benefits (EOB) 06125 - CLAIM RECOUPED. CLAIM COVERED BY PREPAID HEALTH PLAN (PHP). The technical team has researched this issue and will apply the following corrective action:

Claims that were erroneously recouped in the Nov. 30 checkwrite will be corrected in the Dec. 21 checkwrite using an Accounts Payable (AP) transaction for the exact amount of any voids caused by this issue. Any Accounts Receivable (AR) that generated due to these claims being recouped will be satisfied by the AP.  These transactions on Dec. 21 will reverse the negative financial impact from your Nov. 30 checkwrite. The Dec. 21  Remittance Statement will display the special payment in the “Financial Transactions” section, identified by Financial Reason Code 006.  No provider action is required.

NCTracks thanks providers for their patience and understanding. Providers are encouraged to watch their email and check the announcements on the Providers page for any future updates.