RESOLVED: Reason Code U7515 and 39930


Resolved: Reason Code U5715 and 39930

Current Status

Date

 

Resolved

07/19/2021

Status: Claims released to process on 07/19/2021

New

06/30/2021

Status: Palmetto GBA is suspending claims in status location SMOSUE until a correction is implemented on 7/19/2021.

Provider Action: There is no provide action required. Claims will be released to continue process on 7/19/2021. 

Identified

06/30/2021

Issue 

ESRD claims are cycling with reason code U5715 when condition code 78 and a Medicare Advantage plan are present, and reason code 39930 is cycling when condition code 78 is on the claim. CMS is aware of this issue. Claims are being held in status location SMOSUE until a correction is implemented on 7/19/21.





Last Updated: 07/29/2021