Wednesday, June 18, 2008

AvMed Inc electronic claim exclusions

Please be advised that effective May 1, 2008, AvMed will require the NPI on all EDI standard transactions. Please note that electronic claims submitted to AvMed after April 30, 2008, without an NPI number will be rejected. In an effort to avoid issues after the May 1, 2008 effective date, please begin immediately submitting electronic claims using your NPI number.
Effective May 23, 2008, NPI only will be required, claims must not contain legacy provider numbers.
As a result, RelayHealth will add the following edits on April 30, 2008 in order to meet payor requirements for May 1, 2008:

HU 0019C:INVALID BILLING PROVIDER ID QUAL - IN LOOP 2010AA, NM108 MUST BE EQUAL TO XX
HU 0022C:INVALID CLAIM REND PRV ID QUAL - IN LOOP 2310B(PROF)/2310C(INST), NM108 MUST BE EQUAL TO XX

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