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Content Section
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Attention New York Part B
Electronic Claim Submitters - Edit Implementation, April
2004
Due to a system release by our shared maintainer,
additional edits will be implemented for April 2004.
Changes are made on an as-needed basis. As these changes
are made, modifications are also made to the Claim
Specific Edit document that is found in the Companion
Document. Please check our Web site www.empiremedicare.com
for these updates.
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New |
Edits have
been added. |
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Four |
Edits have
been removed. |
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Italic |
designates
changes in the wording found in the document. |
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Bold |
designates
new edits that have been added. |
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837 Version
4010
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X12 Element
Attributes
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Comments
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Edit Nos
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Edit
Messages
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Element
Identifier
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Description
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ID
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Min. Max.
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Usage Reg.
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Loop
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Loop Repeat
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Valid Values
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837 X12 IG Page
No.
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4010A1 Page
No.
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N3
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Billing Provider
Address
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1
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R
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2010AA
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88
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N301
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Billing Provider Address Line
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AN
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1-55
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R
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11299
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2010AA BILL PROVIDER
ADDRESS MISSING
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NM1
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Service Facility
Location
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1
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S
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2420C
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1
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514
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Only 1 occurrence of
2420C.NM1 may be sent else reject the 2300 level
and its subordinate loops
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10801
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>1 SVC FAC LOC SEG
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NM103
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Service Facility Name
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AN
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1-35
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S
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Name of facility is required.
Alpha characters only are allowed in this data
element.
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10804
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SVC FAC NM MISSING
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N3
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Service Facility Location
Address
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1
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R
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2420C
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518
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N301
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Service Facility Location
Address
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AN
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1-55
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R
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11300
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2420C N301 FACILITY
ADDRESS MISSING
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The following edits have been removed.
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SV105
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Place or Service
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Removed
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30035
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FACILITY ADDRESS MISSING
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Removed
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30036
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FACILITY CITY/STATE/ZIP
MISSING
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CLM05-1
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Facility Type Code
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30034
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SVC FAC CITY STATE ZIP
MISSING
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Removed
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30037
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SVC FACILITY ADDRESS REQ
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Posted: 03/26/2004
[ ]
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CPT codes, descriptions, and
other data only are copyright 2003 American Medical Association
(or such other date of publication of CPT). All Rights Reserved.
Applicable FARS/DFARS Apply.
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