As of July 18, 2008 we have reprocessed over half of the claims denied in error. We anticipate that all impacted claims will be completed within the next week. We will continue to provide you periodic updates.

On June 12, 2008, Highmark Medicare Services Inc. erroneously denied claims and adjustments with message B7 - This provider was not certified/eligible to be paid for this procedure/service on this date of service. This message will be shown on the standard provider remittance (SPR) of the claim and/or adjustment. The adjustment activity on previously paid services automatically generated a demand (refund) request through the Healthcare integrated General Ledger Accounting System (HIGLAS).

After reviewing several options to correct this situation, Highmark Medicare Services Inc. has decided to mail the demand (refund) letters. The impacted providers need to repay the amount indicated in the demand (refund) letter to Medicare. If you wish to request immediate offset, please call 1-888-291-2623.

All impacted claims and adjustments will be re-adjusted to pay as appropriate under a separate payment. We understand this is an inconvenience to the provider community and apologize, however due to claims processing limitations, this is the most efficient way to resolve this issue.