July 2017 EDI Edit Spreadsheet Changes
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July 5, 2017 - Updated 08.16.17

July 2017 EDI Edit Spreadsheet Changes

Institutional Edits

Edit Reference Change
X223.384.2330B.NM1.010 Revised 999R edit
X223.384.2330B.NM1.020 Revised 999R edit
X223.389.2330B.DTP.020 Revised 999R edit
X223.389.2330B.DTP.030 Revised 999R edit
X223.112.2010BA.NM109.020 Revised edit to include MBI format.
X223.112.2010BA.NM109.040 Added edit for MBI/HICN claim effective date.
X223.189.2300.HI01-1.040 Added edit for Patient Reason for Visit Code (CR9808)
X223.189.2300.HI02-2.025 If 2300.HI02-1 = "APR", then 2300.HI02-2 must not begin with a "V", "W", "X" or "Y".
X223.189.2300.HI03-2.025 If 2300.HI03-1 = "APR", then 2300.HI03-2 must not begin with a "V", "W", "X" or "Y".
X223.150.2300.DTP03.040 Added edit for MBI/HICN for IP claims with a from date prior to the end of the New Medicare Card Project (previously known as SSNRI) transition period

Professional Edits

Edit Reference Change
X222.121.2010BA.NM109.020 Revised edit to include MBI format.
X222.121.2010BA.NM109.030 Added new edit for MBI/HICN effective date.
X222.320.2330B.NM1.010 Per Payer added to Logic
X222.320.2330B.NM1.020 Per Payer added to Logic
X222.325.2330B.DTP.020 Per Payer added to Logic
X222.325.2330B.DTP.030 Per Payer added to Logic
X222.490.2430.DTP.010 Per Payer added to Logic
X222.490.2430.DTP.020 Per Payer added to Logic
X222.197.2300.REF02.070 Added new CLIA edit
X222.404.2400.REF02.070 Added new CLIA edit
X222.405.2400.REF02.070 Added new CLIA edit
X222.405.2400.REF.020 Added Description to edit line

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