Update for Claims on Hold for Medically Unlikely Edits

In April 2013 NHIC, Corp. announced a hold on claims for Medically Unlikely Edits (MUE) 51MUE - 54MUE.

The following is a status regarding these edits:

• 51MUE, 52MUE and 54MUE edited claims have been corrected and released.
• 53MUE edited claims are in the process of being released across all regions and should be completed by the end of August.

It has been determined that some claims processed beginning 04/01/13 through 04/18/13 may have processed incorrectly. A utility has been received and is currently being tested. Adjustments will be processed on the affected claims once testing is complete.

No provider action will be necessary.