On July 31, 2015, Xerox State Healthcare, LLC (Xerox) resolved the system issue that caused some providers to receive an erroneous Resubmission Turnaround Document (RTD) (Form 65-1) with Remittance Advice Detail (RAD) code 0196: This procedure requires a modifier; modifier is not present. This error occurred for claims submitted with the following CPT-4 codes on or after June 22, 2015, until a solution was implemented on August 1, 2015:
Claims submitted on or after August 1, 2015, with the CPT-4 codes listed above did not receive the error and were processed correctly.
On August 19, 2015, Xerox began reprocessing the impacted claims that generated an erroneous RTD. Providers can expect to see these claims reflected on their warrants beginning August 24, 2015. Additionally, claims for which providers responded to the RTDs and received a denial will be reprocessed in an upcoming Erroneous Payment Correction (EPC).
On August 19, 2015, Xerox began reprocessing the impacted claims that generated an erroneous RTD. Providers can expect to see these claims reflected on their warrants beginning August 24, 2015. Additionally, claims for which providers responded to the RTDs and received a denial will be reprocessed in an upcoming Erroneous Payment Correction (EPC).
