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Check here for a status of EDI systems and a log of resolved EDI issues.

Claim Processing Issues LogClaim Payment Alerts

Please reference this page for information about confirmed, system-related issues before you reach out to Customer Service.

TIP: Click on a description to view more details. Check back for updates.

Date Reported Description

06.18.2026

Home Health TOB 32G: When an earlier episode is removed from the Common Working File (CWF), the system is generating a claim adjustment for sequential billing that changes the HIPPS code from late to early in error. This issue may cause an overpayment or underpayment.

06.12.2026

Reason Codes U5565 & U5566: Admission date doesn't match the election period start date. Claims after a hospice transfer returned to provider (original claims) or rejected (claim adjustments) in error.

04.27.2026

The 2% sequestration reduction applied twice on processed claims beginning in mid-April.

08.01.2023

Reason Code 19963: Some home health claims returned to provider (RTP'd) in error because the corresponding NOA is offline.

Updated: 08.10.2026
Reviewed: 08.10.2026

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