Change of Edit 6075 from Deny to Warn, CR 109501

May 24, 2022

We have identified a defect in Edit 6075 logic which is causing some claims submitted by Rural Health Clinics (RHC), Federally Qualified Health Centers (FQHC), Indian Health Services (IHS) providers, and School Health Center providers with paid encounter services to incorrectly deny the T1015 service. We will notify you when this issue is corrected and affected claims will be reprocessed. No provider action is needed. 

Please contact your Provider Relations Specialist, Tia Bolduc, with any questions.