Here's one that has probably already been addressed, but I am relatively new to this list serv.
Regarding code sets from a payer perspective, are we allowed/obligated to refuse acceptance of a transaction that is not in compliance with whatever code set(s) was/is established at the time of service? If so, then aren't we obligated to check the code sets on a transaction BEFORE it enters our claims system and is adjudicated? How are other payers approaching this? Thanks Tarry L. Hauser Applications Specialist Medical Associates Health Plans 700 Locust Street Ste 230 PO Box 5002 Dubuque, IA 52004-5002 (319)584-4830 FAX (319)556-5134
