July 2, 2012

5010 Tip of the Day

Question:  I sent in a 5010 claim file and I have not received my 277CA.

Answer:  Your file may have rejected on the 999 Functional Acknowledgment. If your file rejected on the 999 report you will not receive a 277CA.  You will need to look at the IK5 and IK9 segments of the 999:

This transaction will NOT be forwarded for further processing. The errors will need to be corrected and the file resubmitted.

This transaction will be forwarded for further processing and a 277CA will be generated.

For more information on how to read the 999 please visit our website.

http://www.cgsmedicare.com/pdf/ASC_X12N_v005010%20_JobAid.pdf