Dec Industry Notes: Medicare Open Claim Issues – Part B
December 04, 2025
Open claim issues – Part B
The claims issues log below includes the status of claims processing issues that have been identified. We are actively working with the necessary areas/entities to resolve these issues.
If your claim issue is not identified below, please visit our FAQs page (JH)(JL), to view top inquiries on claim status, claim denials, and other topics.
Please review this log before calling our Provider Contact Center.
855-252-8782 (JH)
877-235-8073 (JL)
| Date reported | Providers impacted | Workload impacted | Description/claim coding impact | Proposed resolution/fix/action required | Status |
| 11/21/2025 | JH/JL providers | Claims processing issue causing claim denials. | We have identified an issue as a result of Procedure to Procedure (PTP) edits implemented, October 1, 2025, for CPT code 90480. Providers are receiving denials when billing claims for COVID and other vaccines provided on the same day in error. | No provider action required. Claims denied in error will be adjusted. | Open |
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