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 06/19/2013:
• ILIN03A017: Missing SL National Drug Code - For an outpatient claim, when Revenue Code 636 or 637 is present with an associated HCPCS/CPT-4 Code of Axxxx, Jxxxx or 90715, the Service Line Drug National Drug Code is required.
1. If this requirement does not apply to your billing situation, you can override the edit in the Edit/Error Severity application or within the Error Text.
2. Edit based off of http://healthamerica.coventryhealthcare.com/web/groups/public/@cvty_regional/documents/webcontent/c065029.pdf
Loop 2410 LIN03
Edit applies to:
• CPID 8538 Coventry Health Care
Action Required: Please be aware of updated edit requirements.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.