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EDI: How Do I…?

I need help understanding the 277CA rejection that I received.

The 277CA Edit Lookup Tool allows Trading Partners, billing services, providers, and clearinghouses to view easy-to-understand descriptions associated with the edit code(s) returned on the 277CA – Claim Acknowledgment for 5010A1 claims. The tool allows you to enter the edit codes and will return possible explanations for the cause of the edit.

Step 1: Access the 277CA Edit Lookup Tool

Step 2: Enter the edit information located in the STC segment or reported on your acknowledgment file into the 5010A1 277CA Edit Lookup Tool

Step 3: Click Submit

Example: STC*A7:562:85**U*1983˜
A7 = CSCC (Claim Status Category Code)
562 = CSC (Claim Status Codes)
85 = EIC (Entity Identifier Code)

Screenshot

The results will be returned below the search fields and will display all possibilities for the cause of the edit.

For additional instructions, please refer to 277CA EDI Edit User GuidePDF

How do I verify DDE/PPTN enrollment?

Step 1:

Complete the J15 DDE PPTN Application/Reactivation form.

Step 2:

Fax in the completed application. The Fax numbers are located on the bottom of the form.

Step 3:

J15 EDI will complete the DDE PPTN enrollment process within 20 business days.

Step 4:

A confirmation e-mail will be sent to the EDI contact on the application

Step 5:

If you do not receive a confirmation email, please reach out to the Help Desk at:

Ohio/Kentucky Part B – 1.866.276.9558 (option 2)
Ohio/Kentucky Part A – 1.866.590.6703 (option 2)
Home Health/Hospice – 1.877.299.4500 (option 2)

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