July 24, 2019: Clinic claims paying $0
July 24, 2019: Attention RHC/FQHC/IHC Providers: Currently claims with primary insurance are paying $0.00, when a Claim Adjustment Reason Code of 45 or a 253 is used. MDHHS is aware of this issue and will notify providers when this is resolved.
Due to this issue the takebacks for the claims where MDHHS overpaid on when there was a primary that made a payment has been delayed. Also, any claims that were paid incorrect PPS rates will not be adjusted until this system issue has been corrected.