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.
Customers will continue to receive an email communication from the clearinghouse notifying them of claims that were rejected due to errors so that corrections can be made and claims resubmitted.
View a list of payers impacted by this change.
Please be aware that you will no longer receive a 999 payer report, effective immediately. You will continue to receive an email communication from the clearinghouse notifying you of claims that were rejected due to errors so that corrections can be made and claims resubmitted.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
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