Toxic Claim: Case Study

I’m not sure what to do with this appeal. In my SOW, I clearly stated that the claims should be reprocessed F3 and F4 with timely filling bypassed. The rework team is refusing to run the claim because out of 2795 claims, she found 19 (at the time she told me 1) provider (s) with the wrong provider ID#. From my understanding, that is why they have the “skipped” claims section in macro. I could take the 19+ from the 2795 and create another project. Meanwhile, the appeal is ageing causing me to keep having to send it back for the one offs. The other alternative be to test all 2795 claim which be outrageous. This defeats the purpose of having a SOW, if they don’t follow the instructions provided to them. I did my part and tested some of the claims