EPP line items remaining in 'Approved' status

In 25A testing, we noted a new contract with multiple items remaining in 'Approved' status. In checking against the same contract in PROD, we have the same issue. GHX has indicated the items will not be fixed if sent again via the API. We can adjust using the 'User Selected' option for a few items. What is the best option if there are many items that do not update from Approved? Specifically for price changes.

The users have not noted this in PROD before.

Thank you!