Requesting to Pay Claims Without IOCE Approval

40.4.1 - Requesting to Pay Claims Without IOCE Approval (Rev. 1649; Issued: 12-18-08; Effective/Implementation Date: 11-25-08) The contractor may also request approval from the RO in specific situations to pay claims without first sending them through the IOCE. Examples of such situations are: • A systems error cannot be corrected timely, and the provider's cash flow will be substantially impacted; and/or • Administrative Law Judge (ALJ) decisions, court decisions, and CMS instructions in particular cases may necessitate that payment be made outside the normal process.