Although a 5010 go-live date has not yet been set, XL Health Care Improvements Plus (CPIDs 3435 and 1998) will have the following 5010 requirements:
-The Admission Date must not be sent unless the claim is for Inpatient or Home Health or Hospice.
-The Admission Date Time Qualifier must be equal to D8 (expressed in format CCYYMMDD) when Type of Bill starts with 32, 33 or 34.
-The Attending Provider must not be sent for transportation claims.
-Member ID must be the 9 numeric Social Security Number.
-Service Facility Address must be an address, not a post office box.
Please prepare for these 5010 requirements to minimize the risk of claim rejections when XL Health Care Improvements Plus (CPIDs 3435 and 1998) has completed its 5010 transition.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
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Give us a call at 877.480.6517 for more information.