News
Aetna ERA Files Delayed
Posted by Sheila Odeen on 20 March 2019 10:07 AM

Summary:


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Date:


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Aetna Provider eSolutions Vendor Communication


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LA CARE - UPN/NDC qualifier and product code
Posted by Sheila Odeen on 12 March 2019 11:20 AM
Effective 2/12/19, L.A. Care requires the appropriate UPN/NDC qualifier and product code to be submitted when billing for incontinence supplies and National Drug Codes. Failure to submit the required information will result in a delay or denial of your claim.  Please refer to the “NDC/UPN EDI Billing Requirements” article on the L.A. Care website at http://www.lacare.org/providers/claims-edi/using-edi for additional
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Good Morning,


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WPS Military and Veterans Health EDI front-end editing changes for TRICARE East Region 837 Professional claims, effective December 15, 2018. Historically, many claims pend in the claims processing system because they were submitted with an incorrect Billing Provider Name and/or National Provider Identifier (NPI), or the rendering provider segment is missing when a clinic submitted the claim.

WPS notified you of changes to the EDI front-end and allow you , our trading partners time to
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