Claims Preprocessing Edits Claims Resolution Document updated for HIPAA 5010

November 1, 2011

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Due to the upcoming implementation of the HIPAA 837P 5010 transaction, a new version of the Claims Preprocessing Edits Claims Resolution Document (10/2011) has been added to ibx.com. The document should be used when trying to resolve business edit rejections for HIPAA 837P 5010 transactions.

To view or print a copy of this revised worksheet, please visit www.ibx.com/ediforms.

If a HIPAA 837P 4010 transaction or paper claim has been submitted and rejected, use the existing Claims Preprocessing Edits Claims Resolution Document (11/2010) to help determine why it was rejected and provide a basis for resubmitting a clean claim.

Please note that the worksheet may be updated on a regular basis to reflect new error codes and claims resolution instructions. This document is intended to provide guidance on current billing submission errors we have encountered.

For additional assistance, contact the EDI Business Help Desk at 215-241-2305.

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