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Claims Processing Issue for Emergency Dry Runs

December 27, 2017

The Department of Health Care Services (DHCS) identified a claims processing issue affecting claims submitted for emergency transport calls (911) when billed with modifiers DS and QN to erroneously deny with Remittance Advice Details (RAD) code 9983: Emergency ambulance service always requires emergency indicator and certification on the claim.

DHCS and the DHCS Fiscal Intermediary (FI) are working to resolve this issue. Providers should continue to submit claims with proper documentation in a timely manner and check for updates regarding this issue on the Medi-Cal website.