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TO:  All Providers


RE:  Coming Soon: Upcoming Changes to CARC Code 45



Please pass this information along to your software vendors.


Effective December 14, 2021, Alabama Medicaid
will replace
Claim Adjustment Reason Code (CARC) 45 with a new code to ensure compliance with the Committee on Operating Rules for Information Exchange (CAQH CORE) combinations reported on the X12 835 Electronic Remittance Advice (RA).
The new CARC is as follows:

A User Acceptance testing
period will be available to providers to test the change. We currently
anticipate the testing period will begin in early October. Additional
communications regarding specific dates will be provided at a later date.

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