X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

Level 5 - EMPIRE BUSINESS EDITSWP00000005TAX ID MUST BE VALID FOR PROVIDER NUMBER ENTEREDThe value in 2010AA NM109 must be a valid tax id for the Blue Shield provider number enteredin 2010AA REF02 when REF01 equal ‘1B’ and must match the tax id for the provider that existon Empire’s corporate provider file.837 Locations: 2010AA NM1092010AA REF012010AA REF02Level of Return: Provider Batch (Provider Hierarchical Level)Claim Level Business Codes & NarrativesWP00000006PAYER IDENTIFICATION CODE QUALIFIER MUST EQUAL’PI’The value in 2010BB NM108 must equal ‘PI’.837 Locations: 2010BB MN108Level of Return: ClaimWP00000007PAYER IDENTIFIER MUST BE VALID FORMAT FOR COMMERCIAL PAYER IDThe value in 2010BB NM109 must not equal ‘00’ in positions 1-2. Positions 1-5 must be a 5position numeric value without embedded spaces or special characters. Must not equal all 0, 1,2, 3, 5, 6, 7, 8, or 9’s.837 Locations: 2010BB NM109Level of Return: ClaimWP00000008CLAIM FILING INDICATOR CODE MUST = ‘CI’ FOR COMMERCIAL CLAIMSThe value in 2000B SBR09 must be equal to ‘CI’.837 Locations: 2000B SBR09Level of Return: ClaimWP00000009SUBSCRIBER DOB CAN NOT BE GREATER THAN CURRENT DATEThe value in 2010BA DMG02 cannot be greater than the current date.837 Locations: 2010CA DNG02Level of Return: ClaimWP00000010PATIENT DOB CAN NOT BE GREATER THAN CURRENT DATEThe value in 2010CA DMG02 cannot be greater than the current date.837 Locations: 2010CA DMG02Level of Return: ClaimWP00000011PAYER ID 62308: GROUP NUMBER IS INVALIDIf 2010BB or 2330B NM109 is equal to 62308, and 2000B or 2320 SBR03 is present, thenpositions 1-5 must not equal 57800, 70600, 70601, 70602, 70605, 70606, 70607, 70609,70610, 70611, 70612, 70613 or 70614.837 Locations: 2010BB NM1092000B SBR032320 SBR032330B NM109Level of Return: ClaimEMC Front End Validation – Quicklink Commercial Professional 4010A145