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Medicare Part B Newsline March 2012 - Cahaba GBA

Medicare Part B Newsline March 2012 - Cahaba GBA

Medicare Part B Newsline March 2012 - Cahaba GBA

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Mississippi <strong>Medicare</strong> <strong>Part</strong> BTop Ten EDI 277CA Edits for January <strong>2012</strong> for Version 5010For claim submissions in the 5010 format that pass high-level edits a 277CA transaction is created. Thistransaction will indicate file, batch, claim, and line level edits.For spreadsheets that list the 277CA edits and give more detailed information about them please visit theCMS website at http://www.cms.gov/MFFS5010D0/20_TechnicalDocumentation.asp. Visit the WashingtonPublishing Company’s website at http://www.wpc-edi.com for more information about 277CA transactionsand the codes used in them.In order to increase the number of claims that successfully pass through front-end editing and intoprocessing <strong>Cahaba</strong> <strong>GBA</strong> EDI Services is providing you with the top ten 277CA edits. For the month ofJanuary <strong>2012</strong>, these are:Production:Edit NumberX222.087.2010AA.NM109.050X222.351.2400.SV101-7.020Number ofEditOccurrencesDisposition/ErrorCode9,102 This Claim isrejected forrelational field dueto BillingProvider's submitternot approved forelectronic claimsubmissions onbehalf of thisBilling Provider.7,136 This Claim isrejected forrelational fieldInformation withinthe Detaileddescription ofservice.X222.273.2310C.N403.020 6,167 This Claim isrejected for InvalidInformation for aService Location'sPostal/Zip.X222.094.2010AA.REF02.0504,236 This Claim isrejected forrelational fieldExplanation ofEdit2010AA.NM109billing providermust be"associated" tothe submitter(from a tradingpartnermanagementperspective) in1000A.NM109.2400.SV101-7must be present.when2400.SV101-2 ispresent on thetable ofprocedure codesthat require adescription.2310C.N403must be a valid 9digit Zip Code.2010AA.REFmust beassociated with<strong>Medicare</strong> B <strong>Newsline</strong> <strong>March</strong> <strong>2012</strong> 20

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