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Multiple payers have informed the clearinghouse of a new edit requirement effective immediately. In order to meet the new requirement, the clearinghouse has added the below edit on February 20, 2012 for the following payers:

Edit ZZ IHI-0151: INVALID VALUE AMOUNT - When the Value Code 45 is present the Value Amount must be a valid hour 0-23 or 99. Leading zeros are not allowed.

Payers affected are:
CPID 1930 AmeriHealth New Jersey/Delaware - HMO
CPID 3557 Pennsylvania Independence AmeriHealth HMO
CPID 3558 Pennsylvania Independence AmeriHealth PPO
CPID 3559 Pennsylvania Independence Keystone Health Plan East

Please be aware of updated edit requirements.

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


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