Claim Rejections

BCBS (ALL) - 41253 InvalidData: 33 Location

Rejection: 41253 InvalidData: 33 Location: 2300 - CLM05-01 Clm: The Facility code 33 (Loop 2300, CLM05.01) was not valid as of transaction date 20131002.

What happened: National Uniform Billing Committee (NUBC) has decided to discontinue the use of type of bill (TOB) 33X (first 2 digits of box?4)?(see attached picture below).

Resolution: Effective for home health service dates beginning on or after October 1, 2013, home health providers should use TOB 32X for their claims for home health services. The 32X TOB has been redefined to mean ?Home Health Services under a Plan of Treatment?. Home Health claims received with TOB 33X and a statement covers ?from? date on or after October 1, 2013 will be denied for invalid type of bill. Additional information is available at http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles....

tob 33x.jpg