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TO: All Providers
RE: Coming Soon: Upcoming Changes to CARC Code 45
Providers:
Please pass this information along to your software vendors.
Effective December 14, 2021, Alabama Medicaid
will replace Claim Adjustment Reason Code (CARC) 45 with a new code to ensure compliance with the Committee on Operating Rules for Information Exchange (CAQH CORE) combinations reported on the X12 835 Electronic Remittance Advice (RA).
The new CARC is as follows:
- CARC (96) - (Non-covered charge(s)) with an appropriate Recipient Advice Remark
Code (RARC) for the situation.
A User Acceptance testing
period will be available to providers to test the change. We currently
anticipate the testing period will begin in early October. Additional
communications regarding specific dates will be provided at a later date.
Although
this notice serves to communicate important changes coming soon to the
Eligibility and Benefit 271 Response transaction, please continue to
monitor the Alabama Medicaid website at: www.medicaid.alabama.gov (including Provider
Insider newsletters and RA banner messages) for more detailed information and
implementation time frames.
Providers with questions concerning the upcoming change can submit them via
the following email address: interChange_testing@DXC.com.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2021
American Medical Association and © 2021 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.