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EDI Status

Claims 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
04.27.2026 The 2% sequestration reduction applied twice on processed claims beginning in mid-April.
03.20.2026 Reason Codes 31006 & 31007: Some Method II Critical Access Hospital (CAH) claims for professional services returned to provider (RTP'd) indicating the physician/practitioner doesn't have a reassignment on file in PECOS.
02.19.2026 Reason Codes 31006 & 31007: Some Critical Access Hospital (CAH) claims for CRNA pass-through exemption services returned to provider (RTP'd) in error.
07.29.2025 Reason Code W7113: Some claims returned to provider (RTP'd) in error

Updated: 06.30.2026
Reviewed: 06.30.2026

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