New Payer Edit for 2419 MD BCBS (Carefirst) and 2425 DC BCBS of the NCA (Carefirst)
CollaborateMD Blog
The payer listed below has informed the clearinghouse of a new edit requirement effective immediately. In order to meet the new requirement, the clearinghouse has added the following edit on 02/21/2013:

PSV1010317: MISSING PROCEDURE LINE NOTE - When the associated Service Line Procedure Code is a Non-Specific or Not Otherwise Classified (NOC) procedure, Procedure Description is required.

Note: The Service Line Procedure Description should be entered on the associated Service Line Note (Loop 2400 NTE) Description.

PSV101A049: MISSING PROCEDURE LINE NOTE - When the associated Service Line Procedure Code is a Non-Specific or Not Otherwise Classified (NOC) procedure, the Procedure Description is required.

Note: The Service Line Procedure Description should be entered on the associated Service Line Note (SL_REMARK).

Edit applies to:

CPID 2419 MD BCBS (Carefirst)
CPID 2425 DC BCBS of the NCA (Carefirst)

Please be aware of updated edit requirements.

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