ClaimSource Payer Rules to be Released, Thursday, Aug.3 – 08.01.2017
Last updated on September 13th, 2017 at 11:54 am CT
The following ClaimSource payer rules will be released to production Thursday, 8/3/17:
- All Payers, Professional Claims – CPT code 99024 is exempt from invalid $0 total charges rule. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Global-Surgery-Data-Collection-.html
- PA Medicaid – All Claims. Recipient Id number must be 10 digits in length OR if SPBP lab claim, it should be 9 digit and begin with SP1.
- Tricare Institutional Claims – Payer IDs 57106, 61125 or 97726. Error if Tricare ICD/DCN exists and it is not 13 digits in length on bill type xx7. https://www.mytricare.com/internet/tric/tri/imglib.nsf/0/
FFF037266FCE20DC85258140004F536C/$FILE/837IJune2017_5010CompanionX12.pdf (page 8)