RelayHealth offers direct connection with Humana Veterans Healthcare Services - UB04 claims

RelayHealth has announced a new direct connection for processing electronic claims. This new direct connection is effective for claims submitted on and after October 23, 2008.

CPID#: 5902 Humana Veterans Healthcare Services - Institutional or UB04 claims

RelayHealth has identified the following items to be aware of with this change:

*Payor agreements are not required for electronic claims.

The following payor reports will be available: RelayHealth Standardized Payor Reports.

The following payor-specific edits will be required:
o Edit HU version 0019C:INVALID BILLING PROVIDER ID QUAL ? IN LOOP 2010AA, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

o Edit HU version 0020C:INVALID PAY-TO PROVIDER ID QUAL ? WHEN LOOP 2010AB IS SENT, NM108 MUST BE SENT AND MUST BE EQUAL TO XX

o Edit HU version 0022C:INVALID CLAIM REND PRV ID QUAL - IN LOOP 2310C(INST), NM108 MUST BE SENT AND MUST BE EQUAL TO XX

o Edit HU version 0026C:INVALID CLAIM ATTEND PHY ID QUAL - IN LOOP 2310A(INST), NM108 MUST BE EQUAL TO XX

o Edit HU version 0027C:INVALID CLAIM OPERATE PHY ID QUAL - IN LOOP 2310B(INST), NM108 MUST BE EQUAL TO XX

o Edit HU version 0028D:INVALID SRV LINE REND PRV ID QUAL - IN LOOP 2420C(INST), NM108 MUST BE SENT AND MUST BE EQUAL TO XX

o Edit HU version 0034D:INVALID SRV LINE ATTND PHY ID QUAL - IN LOOP 2420A(INST), NM108 MUST BE EQUAL TO XX

o Edit HU version 0035D:INVALID SRV LINE OPER PHY ID QUAL - IN LOOP 2420B(INST), NM108 MUST BE EQUAL TO XX

o Edit HU version 0052C:INVALID CLAIM SRV FAC ID QUAL - IN LOOP 2310E(INST) NM108 MUST BE SENT & MUST BE EQUAL TO XX


Do you have questions on Electronic Medical Billing and Claims? Then visit: medical claims electronic billing

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