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Two New Explanation of Payment (EOP) Codes

Date: 02/25/22

Effective: February 28, 2022

Providers will see two new codes on their EOPs effective February 28, 2022. The EOP has been enhanced to include the additional EX codes to help ease the identification of reconsideration decisions.

Details are as follows:

  • EXh7: The reconsideration decision is overturned. Providers will receive this code if there is a payment on the EOP.
  • EXhA: The reconsideration decision is upheld. Providers will receive this code if the reconsideration decision is upheld and thus no payment is reflected.

If you have any questions, please contact your Provider Relations Specialist.