Also having the same issue - just and FYI - I actually received and email from UHP EDI:
United Healthcare had a SmartEdit in place on claims containing 90471 and 90460 stating (This service/procedure require qualifying service be received and covered). This are not add on codes, back on July 8, 2021 I had contacted EDI support regarding this SmartEdit – this is the information that was provided on 7/8/2021
- The SmartEdit team recently investigated the return edit that mentions add-on codes since it seemed to be triggering incorrectly. If nothing else, the codes are not considered add-on codes. What they found is that a programming issue for the system that bundles/unbundles service lines incorrectly identified these codes on June 27th. This is only for the Employer line of business and is a UnitedHealthcare, not a SmartEdit programming issue. . Please note that since this is a return edit the claims will be forwarded to UnitedHealthcare for processing after five business days. You will be sent a second notice acknowledging receipt of the claims. We may already have some of them. Unfortunately, since this is a claim platform system that also processes claims there may be some claims that deny these services during processing. Work is underway to fix this and any claims sent or processed after 7/11 will not reject for this problem.
Please note if service lines are denied there are already plans to implement a project to adjust those claims and correct any payment denials. We suggest you not resubmit the claims as resubmitting will not fix the claims any sooner than the planned project. It would also delay that since the claim would have to be adjusted twice as opposed to once.
*** I had my billing contact claims department and they were unaware of a reprocessing of claims - the 2nd email I received back from EDI 8/13/2021: The EDI department cannot provide a timeline on when claims will be adjusted but we do know that the department adjusting claims is backlogged with the quantity of claims involved in this project and provider should reach out to their provider advocate.
Hope this helps.