Alert detail

CMS Transmittal R13888OTN: Send 'Reason for Denial' Value in Prior Authorization Data to the Integrated Data Repository…

Policy ID: CMS-T-R13888OTNSpecialty: Multi-specialtyAdded: 7/30/2026Effective: October 5, 2026billing update
High

What changed

Prior auth denial reasons must now feed into CMS IDR by Oct 2026.

Who’s affected: Multi-specialty billing teams · Effective: October 5, 2026

Primary source: View the official CMS/MAC document ↗

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