Skip to Main Content

July 15, 2015

July 2015 HIPAA EDI Front End Edit Changes

Professional Edit Change Log

Edit Reference  Change
X222.490.2430.DTP03.030  The other insurance payment date at line level cannot be a future date.
X222.295.2320.SBR05.010 Deactivated 999 edit
X222.295.2320.SBR05.020 Added 999 R edit to validate valid values

Institutional Edit Change Log

Edit Reference  Change 
X223.294.2300.HI01-2.030 Added new 277CA edit, to reject claims with Internal Payer Use only Condition codes 12-16, 62-65, M0-MZ, or UU.
X223.271.2300.HI01.2.030 Added new 277CA edit, to reject claims with Internal Payer Use only Occurrence codes 23, 48 or 49.
X223.258.2300.HI01-2.030 Added new 277CA edit, to reject claims with Internal Payer User only Occurrence Span code 79.
X223.284.2300.HI01-2.030 Added new 277CA edit, to reject claims with Internal Payer User only Value code 62-65, 70-79, Q0-Q9.
X223.423.2400..010  Revised edit to allow for up to 999 service lines
N/A The flat file layout has been updated to allow for up to 999 service lines

276/277 Edit Change Log

Edit Reference Change
X212.63/151.2200D.REF02.020 Changed the maximum number of characters to be 20, instead of 50.
X212.49/126.2100C.NM109.040 Note changed to remove translator Responsibility for Part A. This edit is accomplished in the CEM for both Parts A and B.
26 Century Blvd, Suite NT600, Nashville, TN 37214 © CGS Administrators, LLC. All Rights Reserved