Published on May 21, 2013
To streamline the process for resubmitting "clean" claims from a rejected claim/file, the clearinghouse is changing the process for reporting payer file level rejected claims.
The clearinghouse will no longer provide the 999 payer report to identify payer file level rejections. Instead, when the clearinghouse receives a rejected claim/file from a payer, the clearinghouse will automatically resubmit the "clean" claims (those that do not have errors) immediately upon receiving the 999 transaction from the payer (if applicable).
This change ensures that clean claims not processed by the payer due to a file level rejection are resubmitted immediately.
CPID 7475 Medicare DME MAC Jurisdiction A
CPID 7476 Medicare DME MAC Jurisdiction B
CPID 7477 Medicare DME MAC Jurisdiction C
CPID 7478 Medicare DME MAC Jurisdiction D
Please be aware that you will no longer receive a 999 payer report, effective immediately. You will continue receiving a FX Report notifying you of claims that rejected on the payer's 999.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.