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Important Update From Medicare

Tuesday, Feb 12, 2008 - 11:37:52 AM

Import Message from Medicare

Date Range: Effective May 23, 2008

Details:

  • Medicare will begin rejecting HIPAA inbound claims containing legacy provider identifiers for any primary provider.
  • The following Medicare pre-pass edits will reject claims as an INVALID VALUE on the H99RAR04 report when the applicable Billing, Pay-to, or Rendering (claim or detail) provider loops contain an REF01 of 1C or 1G.
  • The edits will be begin appearing as informational effective 1/7/08 until the final implementation date of 5/23/08, at which time they will reject claims if billing requirements are not met.
  • Please note these messages are informational only the claims were received and processed successfully at the payer.
  • Kareo is working with our clearinghouse partners to ensure we are ready for this change

Submitter Actions:

None until further notice