AL
23
Pending Retro Requests
$184K
Estimated Impact MTD
90
Max Retro Days (Policy)
5
Overdue Approvals

New Retro Eligibility Request

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Impact Preview — Review Before Submitting
14
Claims Affected
$8,420
Financial Impact
Affected Services: 3 office visits, 2 lab panels, 1 specialist consult, 8 Rx fills
Claims Period: Jan 15 – Mar 1, 2025
Action Required: 14 claims will be reprocessed automatically upon approval

Approval Workflow

1
Enrollment Specialist — Submits request with supporting docs
Current
2
Enrollment Manager — Reviews impact and approves (≤ $5K)
Pending
3
Finance Director — Required for impact > $5K
If Needed
Retroactive Limit Rules
Standard limit: 90 days prior to request date
Medicaid retro: Up to 3 months (federal limit)
Court orders: No time limit — requires legal documentation
Newborns: Retro to date of birth always allowed
All retros require supervisor approval and audit log

Pending Retro Requests

Req IDMemberOriginal DateRetro DateReasonClaimsImpact $Submitted ByStatusActions
RET-2025-0041 Maria Santos 03/01/2025 01/01/2025 Late 834 8 $3,220 J. Torres Mgr Review
RET-2025-0040 Kevin Dunn 02/01/2025 11/01/2024 Medicaid 14 $8,420 A. Lin Finance Review
RET-2025-0038 Lisa Chen 03/01/2025 02/01/2025 System Error 2 $440 System Approved
RET-2025-0035 Newborn — Huang 03/15/2025 03/02/2025 Newborn 5 $1,840 A. Lin Approved

Audit Trail

RET-2025-0035 Approved — A. Lin · Today 10:22 AM
Newborn retro enrollment for Baby Huang — DOB Mar 2, 2025. 5 claims queued for reprocessing.
RET-2025-0038 Approved (Auto) — System · Today 9:05 AM
System error correction — auto-approved per policy (impact < $500). 2 claims reprocessed.
RET-2025-0040 Escalated to Finance — J. Torres · Yesterday 3:14 PM
Impact $8,420 exceeds $5K threshold. Routed to Finance Director for approval.
RET-2025-0041 Submitted — J. Torres · Yesterday 2:48 PM
Late 834 from ABC Employer Group received Mar 18. Retro requested to Jan 1.
AI Assistant

Retroactive eligibility changes coverage effective dates backward. This requires claim reprocessing for the affected period and careful financial impact assessment.

The system identifies all claims in the retro period and calculates how they would be reprocessed under the changed eligibility. Impact includes both additions (new coverage) and recoveries (retroactive disenrollments).

  • < $500 — Auto-approved for system error corrections
  • $500 – $5,000 — Enrollment Manager approval
  • > $5,000 — Finance Director approval required
  • Any court order — Legal and VP Enrollment

Select the most accurate reason code — these are reported to CMS and used for audit purposes. Incorrect reason codes may trigger compliance reviews.

  • Medicaid retroactive eligibility is federally mandated — always process these promptly
  • Claims reprocessing begins automatically after approval
  • All retro changes generate HIPAA 820 premium billing adjustments