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Tags Posts tagged with "Denied Claims"

Denied Claims

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The Office of Child Development & Early Learning (OCDEL) notified all County Early Intervention (EI) Programs and Providers that they will perform one final Mass Claims Adjustment on April 21, 2026.

As a result of the final analysis of the denied claims file, they were able to identify that many of the denied claims can be processed again and should result in a Paid claim. This final Mass Claims Adjustment will significantly reduce the manual efforts for both the County and EI Provider.

Immediately following this final Mass Claims Adjustment, a revised and final report of denied claims will be issued to all County EI programs to distribute to their contracted providers. 

Reminder of Next Steps:

  • Using the newly published Fiscal Year 2025/26 Fee Schedule — File NEW claims on or after March 9, 2026, that contain a date of service on or after July 1, 2025.
  • Using the newly published Fiscal Year 2025/26 Fee Schedule — Adjust claims filed on or after March 9, 2026, that contain a date of service on or after July 1, 2025, if the OLD fee schedule was used.

The Bureau thanks all stakeholders for their patience as they work to streamline the process and expedite the payments for provided Early Intervention services.