In most cases this is an issue with timing. The mainframe systems are set to deny the claim when the provider fails to respond within 45 days of the request for documentation. If the provider responds close to the timeframe during which the documentation is due, the mainframe systems may not be updated to show the documentation has been received. If MR gets the documentation after the 45 days but prior to 120 days having passed, the claim will be reopened, the documentation will be reviewed, and a new remittance will be issued. In NGSConnex, we display a list of claims selected by Medical Review for prepayment review. In the Details, we display a ‘Documentation Receipt Date’ to indicate the date we received the documentation; however, if the provider is responding to a MR ADR that is not listed (i.e., post payment MR ADR, etc.) we would not display this information. For information on how to check the status of ADRs, visit the NGSConnex User Guide.