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Latest Updates
Feb
5
Blue Shield CA (BS001) CPT Code Rejections
Posted on 05 February 2016 01:40 PM

Between 1/1/16-1/31/16 Blue Shield CA (BS001) rejected claims for the following reason:

Normal-0x3939612-Value of sub-element SV101-02 is incorrect. Expected value is from external code list - HCPCS Code (130) when SV101-01='HC'. Segment SV1 is defined in the guideline at position 3700.This error was detected at:Segment Count: 39Co

While many of the rejections were valid, in some cases, this was due to the payer not adding the following codes into their system:

G0477-G0483

The codes have now been added.  If a claim received the above rejection AND contained a code within the set listed, please resubmit those claims.


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Jan
27

Claims for various payers may have failed on 1/26/2016 for the following reason:

REJECTED AT CLEARINGHOUSE PAYOR ID MISSING INVALID

These messages were erroneous and all claims should have this subsequent message:

[RESUB OF TRACE XXXXXXXXXXXXXXX] CLAIM HAS BEEN FORWARDED TO PAYER FOR CONTINUED PROCESSING

These claims can be removed from claim fix.  We apologize for any inconvenience. 


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Dec
9
Common ICD-9/ICD-10 Rejections
Posted on 09 December 2015 01:58 PM

Office Ally has compiled a list of the most common claim rejections and resolutions for ICD-9 and ICD-10 diagnosis code errors.

Please click HERE to view the article.


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Dec
9

Yesterday and today, 12/8/15-12/9/15, some claims rejected for the following reason:

Payer Specific Edit: Member ID must begin with letter M followed by 9 numeric. (FE356)

This was an error on our side and affected claims need to be resubmitted.  Simply go to ClaimFix, click "Correct" and "update".  We apologize for any inconvenience.


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Dec
4

On 12/2/15 and 12/3/15, some claims rejected for the following reason:

Service Facility Information Required. (RC117)

This was an error on our side and affected claims need to be resubmitted.  We apologize for any inconvenience.


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