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January 2, 2020

January 2020 EDI Edit Spreadsheet Changes

Institutional Edits

Edit Reference

Change

X223.354.2320.SBR09.020

277T edit revised. Added EIC PR "Payer" and corrected verbiage for CSC 480

X223.143.2300.CLM05-1.040

New 277C edit to validate admitting diagnosis code is present

X223.358.2320.CAS01.040

New 277C edit to check for claim adjustment group and reason code combination

X223.480.2430.CAS01.040

New 277C edit to check for claim adjustment group and reason code combination

X223.319.2310A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.319.2310A.NM101.020

999 edit deactivated

X223.326.2310B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.326.2310B.NM101.020

999 edit deactivated

X223.331.2310C.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.331.2310C.NM101.020

999 edit deactivated

X223.336.2310D.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.336.2310D.NM101.020

999 edit deactivated

X223.341.2310E.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.341.2310E.NM101.020

999 edit deactivated

X223.349.2310F.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.349.2310F.NM101.020

999 edit deactivated

X223.377.2330A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.377.2330A.NM101.020

999 edit deactivated

X223.384.2330B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.384.2330B.NM101.020

999 edit deactivated

X223.456.2420A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.456.2420A.NM101.020

999 edit deactivated

X223.461.2420B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.461.2420B.NM101.020

999 edit deactivated

X223.466.2420C.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.466.2420C.NM101.020

999 edit deactivated

X223.471.2420D.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X223.471.2420D.NM101.020

999 edit deactivated

Professional Edits

Edit Reference number

Change

X222.295.2320.SBR09.020

277T edit revised. Added EIC PR "Payer" and corrected verbiage for CSC 480

X222.262.2310B.NM102.010

999R edit revised. Corrected the error code to IK403 = 1: "Required Data Element Missing"

X222.299.2320.CAS01.040

New 277C edit to check for claim adjustment group and reason code combination

X222.484.2430.CAS01.040

New 277C edit to check for claim adjustment group and reason code combination

X222.257.2310A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.257.2310A.NM101.020

999 edit deactivated

X222.262.2310B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.262.2310B.NM101.020

999 edit deactivated

X222.269.2310C.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.269.2310C.NM101.020

999 edit deactivated

X222.280.2310D.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.280.2310D.NM101.020

999 edit deactivated

X222.285.2310E.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.285.2310E.NM101.020

999 edit deactivated

X222.290.2310F.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.290.2310F.NM101.020

999 edit deactivated

X222.313.2330A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.313.2330A.NM101.020

999 edit deactivated

X222.320.2330B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.320.2330B.NM101.020

999 edit deactivated

X222.430.2420A.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.430.2420A.NM101.020

999 edit deactivated

X222.436.2420B.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.436.2420B.NM101.020

999 edit deactivated

X222.441.2420C.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.441.2420C.NM101.020

999 edit deactivated

X222.449.2420D.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.449.2420D.NM101.020

999 edit deactivated

X222.454.2420E.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.454.2420E.NM101.020

999 edit deactivated

X222.465.2420F.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.470.2420G.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.470.2420G.NM101.020

999 edit deactivated

X222.475.2420H.NM101.010

999 edit revised. Changed the error code to IK304 = 2: " Unexpected segment”

X222.475.2420H.NM101.020

999 edit deactivated

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