Wednesday, June 18, 2008

New Payer edits for LA Medicaid

Relayhealth has created two new edits to scrub for NPI information for CPID# 1475 LA Medicaid. LA Medicaid needs to validate the NPI is being sent in Loop 2010AA Billing Provider and Loop 2010AB Pay-to-Provider. The new edits are:

Edit 09 - 0348C Billing NPI not on file
Edit 09-0349C Pay-to NPI not on file

If your office submits to RelayHealth (McKesson) and receive these exclusions you should promptly follow up with LA Medicaid to resolve the NPI registration and inform RelayHealth enrollment EDI team with the valid NPI information.

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    Provider must complete an Annual EDI Certification Form or their submitter number will be deactivated and claims will not make it through the EDI process. Please paste the information above in your browser for more information.