ASC X12 5010 Issue Reporting System

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Date SubmittedOrg TypeIssue CategoryIssue Description
6/28/2012 Software Vendor(Practice Management System) Lack of Payment We are a Billing Agent for our providers and some billing/pay-to addresses are a P.O. Box. Since no P.O. box is allowed for 5010 NM1*85 we populate t ...
6/28/2012 Provider(Medical) Other [Company] is experencing incorrect usage of CSC 1 or 2 which is primary and secondary claim status codes. Medicare is rejecting a claim on the remit ...
6/28/2012 Provider(Medical) Other The Corporate Entity "Hospital Sisters Health System" uses Meditech Practice Management Software to create a daily consolidated 837I/837P containing c ...
6/28/2012 Clearinghouse Other Patient accounting system is writing both loops 2330B DTP*573* and Loop 2430 DTP*573* which we feel may be rejected by the payer if this information i ...
6/28/2012 Clearinghouse Trading Partner Issue [Health plan] is requiring institutional bill types not supported by NUBC in their code sources. Two of the codes we have encountered problems with re ...
6/28/2012 Health Plan Other Regarding ICD principal procedures and 5010 restrictions, when a procedure is done twice, ICD9 states to bill it twice. However, this conflicts with ...
6/19/2012 Provider(Medical) Other My company provides DME products with a place of service 12. I'm being told by large carriers (REMOVED & REMOVED) that I should populate my service f ...
6/20/2012 Health Plan Other When data is being "downconverted" from 5010 to 4010, POA values are not being mapped from the HI segments to K3.
6/19/2012 Health Plan Other Payers have moved edits from the adjudication arena to the front end without providing the corresponding documentation/business rules.
6/19/2012 Software Vendor(Practice Management System) Full Batch Rejections MSP claims are being rejected when the primary claim was not sent electronically.