July 15, 2015
July 2015 HIPAA EDI Front End Edit Changes
Professional Edit Change Log
Edit Reference | Change |
---|---|
X222.490.2430.DTP03.030 | The other insurance payment date at line level cannot be a future date. |
X222.295.2320.SBR05.010 | Deactivated 999 edit |
X222.295.2320.SBR05.020 | Added 999 R edit to validate valid values |
Institutional Edit Change Log
Edit Reference | Change |
---|---|
X223.294.2300.HI01-2.030 | Added new 277CA edit, to reject claims with Internal Payer Use only Condition codes 12-16, 62-65, M0-MZ, or UU. |
X223.271.2300.HI01.2.030 | Added new 277CA edit, to reject claims with Internal Payer Use only Occurrence codes 23, 48 or 49. |
X223.258.2300.HI01-2.030 | Added new 277CA edit, to reject claims with Internal Payer User only Occurrence Span code 79. |
X223.284.2300.HI01-2.030 | Added new 277CA edit, to reject claims with Internal Payer User only Value code 62-65, 70-79, Q0-Q9. |
X223.423.2400..010 | Revised edit to allow for up to 999 service lines |
N/A | The flat file layout has been updated to allow for up to 999 service lines |
276/277 Edit Change Log
Edit Reference | Change |
---|---|
X212.63/151.2200D.REF02.020 | Changed the maximum number of characters to be 20, instead of 50. |
X212.49/126.2100C.NM109.040 | Note changed to remove translator Responsibility for Part A. This edit is accomplished in the CEM for both Parts A and B. |