New Payer Edit for CPID 8538 Coventry Health Care
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 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.

Notes:
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.