NCHC Claim Denials for Age Edit Resolved
It was previously reported that NC Health Choice (NCHC) claims for recipients under the age of 6, who lost their Medicaid coverage due to changes in income, were denying with Edit 00149 PROCEDURE INVALID FOR AGE, even though the recipients are eligible. This issue was resolved on September 6. Providers who had claims that denied for Edit 00149 PROCEDURE INVALID FOR AGE for recipients with program MICJ when age was less than 6 years old can now resubmit their denied claims as original claims.