Kansas Medical Assistance Program · November 3, 2026 · Primary source
KMAP Open Claims Resolution Log
Summary
Kansas Medicaid's KMAP Open Claims Resolution Log, revised November 3, 2026, identifies several active claim-processing errors affecting institutional and professional claims as well as Medicare crossover payments. A pending issue (INC0084143) involves institutional claims incorrectly denied with EOB 4103 for Occurrence Code 55 from December 12, 2025 forward, resulting in underpayments. A resolved crossover overpayment issue (CHG0074791) affecting claims from April 4, 2022 through August 4, 2026 is being reprocessed with adjustments underway as of November 2, 2026. A resolved professional claim issue (CHG0076946) for procedure code 36620 is also pending reprocessing.
What this may mean
Kansas Medicaid providers with institutional claims denied under EOB 4103 for Occurrence Code 55 from December 12, 2025 through the present are subject to retroactive reprocessing once the system is corrected, though no implementation date has been set. Providers with Medicare crossover claims overpaid between April 4, 2022 and August 4, 2026 are subject to recoupment adjustments that began November 2, 2026. Underpayment corrections for claims beyond eight quarters of the post-implementation date require providers to resubmit within 90 days of that date or face timely filing denials.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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