What is Resubmission Turnaround Document (RTD) – Medical CA
Claims that are in Resubmission Turnaround Document (RTD) status on the inprocess page of your Remittance Advice (RA) require some response from you as the provider. Use the worksheet from the back of the RA when the claim went into RTD status to correct incomplete information or to attach additional information by the deadline on the worksheet. Sign and date the worksheet as it is an amendment of your original claim. Send in only the RTD worksheet with any attachments, as applicable. Your claim will not process until you respond and may be holding up the rest of your claim lines. You are given 90 days to send your corrected RTD worksheet to First Health. If no response is received from you after 60 days, a 2nd notice letter is generated. You have 30 days from the receipt of the letter to respond. Remember, the deadline does not change. If no response is received by the deadline, the claim will deny for Edit 076 – RTD filing limit exceeded. If you receive the 076 denial, it is now too late to send in the corrected RTD worksheet. You must resubmit a corrected
claim. You may need to backtrack 90 days to find the RA in which the claim went into RTD status to determine the reason for the RTD so that the appropriate corrections can be made.
Do not attempt to make an adjustment to a claim or to add a claim line to the RTD. RTDs are an opportunity for you to correct a claim so that it can continue to process.