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