Oklahoma Medicaid has new NPI edits

For those medical practices that use RelayHealth as a clearinghouse and bill to Oklahoma Medicaid be aware of new exclusion edits starting June 19th 2008:

Edit HU 0043C: invalid claim ref provider ID qualifier in Loop 2310A (CMS-1500), NM108 Must be sent must be equal to XX

EDIT HU 0044C: Invalid Claim pur srv id qualifier in Loop 2310C (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU 0045C: Invalid Claim Service Facility ID Qualifier in Loop 2310D (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU 0046C: Invalid Claim Supervising Provider ID Qualifier in Loop 2310E (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU 0047D Invalid SRV Line Pur SRV ID Qualifier in Loop 2420B (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU 0048D Invalid SRV line SRV Facility ID Qualifier in Loop 2420C (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU 0049D Invalid SRV Line SUP Provider ID Qualifier in Loop 2420D (CMS-1500), NM108 Must be sent must be equal to XX

Edit HU0051D Invalid SRV line Referring Provider ID Qualifier in Loop 2420F (CMS-1500), NM108 Must be sent must be equal to XX


These edits are for Oklahoma Medicaid NPI requirements

Confused by Electronic Medical Claim billing then read these articles on Billing Health Insurance medical claims


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