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EPC Letters: 2020

Medi-Cal providers may view and download the following Erroneous Payment Corrections (EPC) letters. The PDF forms require Adobe Reader. If you need to install or upgrade to the latest version, visit the Web Tool Box.

EPC Letters: Current | 2019 | 2018 | 2017

January 4, 2021	Reprocessing of Erroneously Paid and Denied Claims for Select Lab Codes	0196 0090 0819		P41863
January 4, 2021	Adjustment of Claims for Select Physician-Administered Drug Codes	0893		P42102
December 31, 2020	Recommencement of Pharmacy Retroactive Claim Adjustments in February 2021	0812		P40444
December 24, 2020	Adjustment of DME Claims for 10 Percent Provider Payment Reductions	0981		P36333F
December 18, 2020	Retroactive Rate Adjustment of Hospice Claims for Revenue Code 0658	0901		Q41887
December 17, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P41887A
December 8, 2020	Retroactive Rate Adjustment of Claims for Blood Factor Products	0819		P41677
December 1, 2020	Adjustment of Claims for Select Clinical Laboratory Services	0893		P41954
November 30, 2020	Reprocessing of Erroneously Paid Local Educational Agency Claims	0819		P41882
November 30, 2020	Adjustment of Claims for Select Physician-Administered Drug Codes	0893		P41956
November 25, 2020	Resubmission of Erroneously Denied Ultrasound Claims	0095		P42113
November 25, 2020	Reprocessing of Erroneously Paid Eyeglass Frames Claims	0811		P52278
November 24, 2020	Adjustment of Hospice Claims Due to Retroactive Rate Updates	0901		P41635C
November 23, 2020	Resubmission of Erroneously Denied Telehealth Claims	9516		P41978
November 20, 2020	Adjustments to Claims for Select Physician-Administered Drug Codes	0893		P41949
November 18, 2020	Reprocessing of Claims for Family Planning-Related Services	0075 0029 0883		P41832
November 12, 2020	Resubmission of Erroneously Denied Injections Claims	0010		P40343
November 3, 2020	Reprocessing of Claims for Ineligible Recipients	0819		P40337
November 2, 2020	Resubmission of Erroneously Denied Laboratory Services Claims	9655		P41843
October 30, 2020	Resubmission of Erroneously Denied Claims for Select HCPCS Codes	0119		P41872
October 28, 2020	Reprocessing of Claims for Select Procedure and Drug Codes	0819		P41844
October 26, 2020	Reprocessing of Erroneously Paid Claims for Select HCPCS Codes	0819		P41785
October 26, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P41329
October 23, 2020	Reprocessing of Erroneously Paid and Denied Claims for Family Planning-Related Services	0169 0819	028855	P41362
October 23, 2020	Adjustment of Hospice Claims Due to Retroactive Rate Updates	0901		P41329A
October 22, 2020	Reprocessing of Claims for Radiology and Pathology Codes	0819		P41619
October 16, 2020	Adjustment of GEMT Claims Due to Supplemental Payment Updates	893		P41565
October 15, 2020	Adjustment of Inpatient Claims Due to Increase in Net Reimbursement Rates	0899		P41635A
October 14, 2020	Adjustment of LTC Claims Due to Increase in Reimbursement Rates	0829		P41635D
October 7, 2020	Reprocessing of Claims for Family PACT and Medical Programs	0893		P41620
September 30, 2020	Reprocessing of Erroneously Paid Eyeglass Lenses Claims	811		P48538
September 29, 2020	Retroactive Rate Adjustment to Radiology Claims for Select CPT Codes	0893		P41471
September 28, 2020	Reprocessing of Claims for Select Radiology Split Billing Codes	0893		P41439
September 16, 2020	Adjustment of Claims for Select Physician-Administered Drug Codes	0893		P41543
September 16, 2020	Adjustment of Claims for Select Physician-Administered Drugs and HCPCS Codes	0893		P41570
September 14, 2020	Adjustment of Claims for Select Physician-Administered Drug Codes	0893		P41711
September 10, 2020	Voids and Resubmission of Erroneously Paid Claims for CCS/GHPP Service	0819		P41359
September 9, 2020	Reprocessing of Trauma and Developmental Screening Claims	0819	023255	P41697
September 8, 2020	Adjustment of Claims for Indian Health Services Rate Changes	0877		P41650
September 4, 2020	Void of Erroneously Paid Claims for Deceased Recipients	0821		P41606
September 1, 2020	FQHC/RHC Prospective Payment System Rate Adjustment	0822		P41601
September 1, 2020	Resubmission of Erroneously Denied Claims for Select Cardiovascular Procedure Codes	0196		P41580
August 31, 2020	Adjustment of CBAS Claims due to Supplemental Payment Updates	0883		P41524
August 31, 2020	Adjustment of HH/PDHC and HCBS Services Claims Due to Supplemental Payment	0883		P41408
August 26, 2020	Resubmission of Erroneously Denied Claims for PE4PW Benefits			P41505
August 24, 2020	Adjustment of LTC Claims Due to Increase in Reimbursement Rates	0829		P41635B
August 21, 2020	Adjustment of Medi-Cal Family Planning Services Claims Due to Exclusion of Supplemental Payments	0883		P41525
August 12, 2020	Voids and Resubmission of Erroneously Paid Claims with Aid Code V2	0819		P41593
August 7, 2020	Resubmission of Erroneously Denied Evaluation and Management Claims	0062		P41467
July 30, 2020	Resubmission of Erroneously Denied Claims for Podiatry Services	0005		P41550
July 30, 2020	Resubmission of Erroneously Denied Claims for Select Managed Care Plan	0037		P41466
July 28, 2020	Adjustment of Clinical Laboratory Claims Due to Retroactive Rate Updates	0893		P40421
July 14, 2020	Resubmission of Erroneously Denied Claims for Select COVID-19 HCPCS Codes		018355	P41426
July 9, 2020	Reprocessing of Erroneously Paid and Denied Medicare Crossover Claims	0375 0819		P40981
July 7, 2020	Adjustment of Hospice Claims Due to Retroactive Rate Updates	0901		P41033
July 7, 2020	Resubmission of Erroneously Denied Claims for Select HCPCS Codes	0010		P40485
July 2, 2020	Adjustment of Laboratory Claims for 10 Percent Provider Payment Reductions	0981		P33376G
July 1, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P40352
July 1, 2020	Adjustment of NEMT Claims Due to Reimbursement Policy Changes	0883		P40602
June 16, 2020	Reprocessing of Erroneously Paid and Denied Claims for Physician Administered Drug Codes	9898 0893		P40395
June 3, 2020	Resubmission of Erroneously Denied Family PACT Claims	0005 0169 9206 9515		P41299
May 28, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P40353
May 27, 2020	Resubmission of Erroneously Denied Claims for EWC Services	9218		P40423
May 25, 2020	FQHC/RHC Prospective Payment Rate Adjustment	0882		P40456
May 22, 2020	Void of Erroneously Paid Claims for Deceased Recipients	0821		P40915
May 22, 2020	Resubmission of Erroneously Denied Claims for CPT Codes	9671		P40629
May 22, 2020	Resubmission of Erroneously Denied Claims for Pediatric Day Health Care	0037	012155	P41257
May 22, 2020	Resubmission of Erroneously Denied Family PACT Claims	9646		P41028
May 20, 2020	Resubmission of Erroneously Denied Medical Transportation Claims	0076 9053		P40471
May 14, 2020	Resubmission of Claims for COVID-19 HCPCS and CPT Codes		010755	P41193
May 11, 2020	Adjustment of Hospice Claims for Revenue Code 0658 Due to Retroactive Rate Updates	0901		P41240
April 30, 2020	Resubmission of Erroneously Denied Claims for Select HCPCS Code	0010	010455	P40472
April 28, 2020	Void of Erroneously Paid State Inmate Claims	0834		P40351
April 28, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P41087
April 23, 2020	Adjustments to Claims for Select Physician-Administered Drug Codes	0893		P40415
April 10, 2020	Adjustment of NEMT Claims for Supplemental Payments Updates	0883		P40806
April 10, 2020	Void of Erroneously Paid County Inmate Claims	0834		P54532
March 31, 2020	Resubmission of Erroneously Denied DRG Inpatient Claims	0037	7655	P54694
March 28, 2020	Resubmission of Erroneously Denied Radiology and Pathology Claims	0090		P40256
March 27, 2020	Adjustment of Erroneously Paid Injection Claims	0883		P54594
March 12, 2020	Adjustment of Specific Family Planning Service claims due to Supplemental Payment Updates	0883		P40555
March 11, 2020	Retroactive Rate Adjustment to Radiology Claims for Select CPT Codes	0893		P53153
March 6, 2020	Resubmission of Erroneously Denied Evaluation and Management Claims	0062	005055	P53955
February 27, 2020	Adjustment of Claims for Assembly Bill 97 on Select Procedure Codes	0883		P54573
February 26, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P53443
February 18, 2020	Adjustment of Erroneously Paid Claims for Select HCPCS Codes	0893		P53386
January 27, 2020	Adjustment of LTC Claims Due to Retroactive Rate Updates	0829		P51827
January 22, 2020	Resubmission of Erroneously Denied Claims for Select HCPCS Codes	0621		P54319
January 21, 2020	Adjustment of Laboratory Services Claims Due to Retroactive Rate Updates	0893		P33416G
January 14, 2020	FQHC/RHC Prospective Payment Rate Adjustment	0882		P54241
January 7, 2020	Adjustment of Pharmacy Claims Due to Retroactive Payment Methodology Changes	0812		P50489A

EPC Letters: 2020

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