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May 29, 2018

EDI Front End Editing for Corrected Claims

Within the next 45 days, additional EDI front end editing will be implemented for Corrected Claims. The purpose of this editing is to ensure proper adjudication of corrected claims. Dental, Institutional and Professional transactions will be impacted by this editing.

Corrected claims will now require:

  • 2300 CLM05-3 Claim Frequency Code
  • 2300 REF02 Payer Claim Control Number

Thank you.


 

 

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