Part A and Part B Reprocessing Claims Information Per Affordable Care Act

Providers may view the TrailBlazer Part A Claims Reprocessing and Part B Claims Reprocessing tables for information regarding reprocessing of claims to comply with the Affordable Care Act (ACA) provisions. This includes corrections to the 2010 Medicare Physician Fee Schedule (MPFS).

• The Part A Claims Reprocessing and Part B Claims Reprocessing tables indicate:
• The ACA provision.
• A description of the provision.
• The effective date of the provision.
• The implementation date of when TrailBlazer initiated the reprocessing of the claims (this includes information on previously processed claims).
• The adjustment status and any specific identifiers on the claim and/or Medicare Remittance Advice (MRA).

This information is being furnished to assist providers with identifying the specific ACA-related adjustments on the MRA as well as the time frame for completing the adjustments.