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Please read the following bulletin from Colorado Medicare CPIDs 1449 & 1547.

Issue Reported by Colorado Medicare:

Due to Colorado Medicare's new 5010 claims editing process, submitters who receive the following payer rejection will be required to re-enroll with the payer:

Rejection Notice:
Status - CLAIM REJECTED
STATUS CODE: A8:496:85
Acknowledgement / Rejected for relational field in error.
Submitter not approved for electronic claim submissions on behalf of this entity.
Background:

As reported by Colorado Medicare, during the cutover from Noridian to Trailblazer in 2008, Noridian provided a spreadsheet to Trailblazer that contained two clearinghouse submitter ID's for some providers. Trailblazer did not load both IDs into their system. This information was not included in the Trailblazer edits until they converted to the 5010 format.

Action Required: Submitters who receive the payer rejection above should re-enroll with the payer.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

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