Friday, December 5, 2008

New Claim Edits for New York Preferred Care HMO

New York Preferred Care HMO CPID# 7434 has new NPI requirements. Because of these changes RelayHealth will be implmenting a new electronic claim exclusion on December 5th 2008 for all claims submitted to CPID# 7434.

EDIT: HU 0021 INVALID CLAIM REF PROV ID QUAL? IN LOOP 2310A(PROF), WHEN NM108 IS SENT MUST BE EQUAL TO XX

Please understand that the NPI is now required when submitting claims through RelayHealth for New York Preferred Care HMO health insurance.


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2 comments:

  1. Helpful. Which billing software do you use?

    ReplyDelete
  2. Hi Spenser,

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    I would first do a needs assesment of your medical practice. Once you identify the top issues that the Medical Billing Software vendor needs to resolve your next issue is trying to find a Medical Billing Software vendor that fits those needs.

    Researching Practice Management Software vendors takes a lot of time. Some offices can easily spend 50+ hours. No one however; has that time to waste so I refer people to:
    http://medicalbillingsoftwarepro.com/

    This gives you a list of top Server Based and Web Based Practice Management Software systems including over 30 medical claims Clearinghouses.

    It's easy to find the best Medical Billing Software vendor and medical claims clearinghouse that will best suit your medical office.

    If you would like help finding the right Medical Billing Software Vendor don't hesitate to ask. I would be happy to help!

    Happy Billing

    ReplyDelete