Paying Claims Outside of the IOCE

40.4 - Paying Claims Outside of the IOCE (Rev. 1649; Issued: 12-18-08; Effective/Implementation Date: 11-25-08) All institutional outpatient claims are routed through the IOCE before they are processed to payment. There may be special circumstances, however, when it is necessary to pay claims bypassing IOCE edits. The CMS will notify the contractor of these instances. They include: • New coverage policies are enacted by Congress with effective dates that preclude making the necessary changes timely; and • Errors are discovered that cannot be corrected timely. A/B MACs (A) are responsible for reporting problems timely.