Friday, September 12, 2008

Montana Blue Shield new claim exclusion edit

If you are currently billing to CPID# 7450 Montana Blue Shield please be aware of new a new claim edit that was added to RelayHealth on September 11, 2008.

Edit: 35 0042C Missing Referring Provider Info - in Loop 2300, if a ref segment with a 9F Qualifier is Present, then loop 2310A must be sent.
Fix: Loop 2310 is equivalent to Box 17 provider who referred the patient and Box 17A Referring Provider ID information. If this information is missing and you are indicating a 9F qualifier it will be rejected. Add the referring providers information and rebill the claim.

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