Friday, August 22, 2008

Claim Rejection Edit Issues

If your offices bill with a National Drug Code (NDC) and bill to insurance Carriers Indiana Medicare (CPID#3500), Georgia Medicare (CPID#3536), Iowa Medicare (CPID#2537), Ohio Meidcare (CPID#3507), Kentucky Medicare (CPID#5533), or Illinois Medicare (CPID#5506) you will find a new edit was added on August 22nd 2008 by RelayHealth.

A high volume of claims have been rejecting because Loop 2410 (Drug Identification) LIN Segments sent with one Loop 2400 (Service Line Number) SV2 Segment for multiple CPID#'s.

Edit ID: 0001D: Only 1 LIN can be present in loop 2400 if SV2 present, only 1 2410 LIN can be present.

Fix: Only 1 National Drug Code can be present in the loop 2410 LIN segment

* LIN: Identified the NDC

Happy Collecting!

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