July 5, 2017 - Updated 08.16.17
July 2017 EDI Edit Spreadsheet Changes
Institutional Edits
Edit Reference | Change |
---|---|
X223.384.2330B.NM1.010 | Revised 999R edit |
X223.384.2330B.NM1.020 | Revised 999R edit |
X223.389.2330B.DTP.020 | Revised 999R edit |
X223.389.2330B.DTP.030 | Revised 999R edit |
X223.112.2010BA.NM109.020 | Revised edit to include MBI format. |
X223.112.2010BA.NM109.040 | Added edit for MBI/HICN claim effective date. |
X223.189.2300.HI01-1.040 | Added edit for Patient Reason for Visit Code (CR9808) |
X223.189.2300.HI02-2.025 | If 2300.HI02-1 = "APR", then 2300.HI02-2 must not begin with a "V", "W", "X" or "Y". |
X223.189.2300.HI03-2.025 | If 2300.HI03-1 = "APR", then 2300.HI03-2 must not begin with a "V", "W", "X" or "Y". |
X223.150.2300.DTP03.040 | Added edit for MBI/HICN for IP claims with a from date prior to the end of the New Medicare Card Project (previously known as SSNRI) transition period |
Professional Edits
Edit Reference | Change |
---|---|
X222.121.2010BA.NM109.020 | Revised edit to include MBI format. |
X222.121.2010BA.NM109.030 | Added new edit for MBI/HICN effective date. |
X222.320.2330B.NM1.010 | Per Payer added to Logic |
X222.320.2330B.NM1.020 | Per Payer added to Logic |
X222.325.2330B.DTP.020 | Per Payer added to Logic |
X222.325.2330B.DTP.030 | Per Payer added to Logic |
X222.490.2430.DTP.010 | Per Payer added to Logic |
X222.490.2430.DTP.020 | Per Payer added to Logic |
X222.197.2300.REF02.070 | Added new CLIA edit |
X222.404.2400.REF02.070 | Added new CLIA edit |
X222.405.2400.REF02.070 | Added new CLIA edit |
X222.405.2400.REF.020 | Added Description to edit line |