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Mercy Care became aware of a new policy that was implemented in our processing system at the end of August 2022, which resulted in claims denying for codes 99381, 99382, 99391, and 99392 for exceeding frequency limitations in error. Upon discovery of this error, an escalated ticket was submitted to remove these codes from benefit editing.
We anticipate this change will be in our claims processing system by October 9, 2022. In the interim, Mercy Care will be working to have denial edits overturned. Some services may still be denied due to the timing of these overrides. Once the fix is in place, a project of all impacted claims will be completed so that any and all erroneously denied claims are adjusted and paid. We apologize for any inconvenience this may have caused you.
As always, don't hesitate to contact your Mercy Care Network Management Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website.
Thanks for all you do!
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