on Nov 9, 2017 at 7:28 AM
Approved - IRR CLM862 Remove contradictory statement within FRIO 00 DP Rule
Download Attachment IRR CLM862 - Remove contradictory statement within FRIO 00 DP Rule.pdf 320.21 kB 1 downloads
Business Requirement / Issue: The Maintenance Type Code, FROI 00 DP rule last sentence directly contradicts the remainder of the DP rule. The claims committee determined this was inadvertent and should be removed.
Final Proposed Resolution: Remove the last sentence, "However, jurisdictions are not permitted to reject a 00 after submission of a 04 report for the same claim", from the DP Rule.
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This clerical IRR is now considered approved following Final 14-Day review without objection.