Thursday, June 26, 2008

New Mexico Medicare and Oklahoma Medicare

CPID's 1457 New Mexico Medicare and 1458 Oklahoma Medicare require the Facility information to be present on claims that contain a Facility code Value other than 12 Home. Because of these new changes RelayHealth has added a new edit to scrub for this value:

Edit 57 0037D: Missing Service Facility Information in Loop 2400, If SV105 is not 12, then Loop 2310D (Professional Service Facility) or 2420C (Professional Service Facility) must be sent.

This new edit will begin populating on July 8th 2008.

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