Monday, August 11, 2008

Community Health Plan of Washington CHPWA electronic claim edits

If you are currently billing electronic medical claims to CPID#3445 Community Health Plan of Washington (CHPWA) you may have had medical claims getting rejected for NPI issues. On August 7th 2008 RelayHealth added these new edits to catch any issues:

EDIT HU 0019C:INVALID BILLING PROVIDER NPI - IN LOOP 2010AA, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

EDIT HU 0020C:INVALID PAY-TO PROVIDER NPI - IN LOOP 2010AB, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

EDIT HU 0021C:INVALID CLAIM REFERRING PROV NPI - IN LOOP 2310A, WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0022C:INVALID CLAIM RENDERING PROVIDER NPI - IN LOOP 2010B(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0023C:INVALID CLAIM PURCHASED SERVICE NPI - IN LOOP 2310C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0024C:INVALID CLAIM SERVICE FACILITY NPI - IN LOOP 2310D(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0025C:INVALID CLAIM SUPERVISING PROVIDER NPI - IN LOOP 2310E(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0028D:INVALID SRV LINE RENDERING PROVIDER NPI - IN LOOP 2420A(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0029D:INVALID SRV LINE PURCHASED SERVICE NPI - IN LOOP 2420B(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0030D:INVALID SRV LINE SERVICE FACILITY NPI - IN LOOP 2420C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0031D:INVALID SRV LINE SUPERVISING PROVIDER NPI - IN LOOP 2420DC(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0032D:INVALID ORDERING PROVIDER NPI - IN LOOP 2420E(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX

EDIT HU 0033D:INVALID SRV LINE REFERRING PROVIDER NPI - IN LOOP 2310C(PROF), WHEN NM108 IS SENT IT MUST BE EQUAL TO XX


Learn more about Electronic Medical Billing and Coding at this site medical billings and health insurance claims

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