With regard to loosening the edits...I had a Medicare transmission that I sent just today that had about 50 claims (837P). One of them had a missing first name in the secondary insured's NM1-04 (I think it was 04?). With looser edits, this would have processed without the secondary insurance data. Medicare rejected the entire batch of all the claims. Fortunately, I'm knowledgeable enough to have been able to correct the error and change the ISA, batch, etc ID # and simply resubmit the entire claim batch (which went through just fine). Most providers come 10/03 will not be able to easily do this and will have to either re-key everything, or will wind up seriously considering dropping to paper. Just my 2 cents worth from the provider's point of view. Dr. Jeff Pinsky
Martin Jensen said: "What this means on a technical level is that we should all "loosen our edits" (at least during the time when everyone is first converting to standard) and not reject transactions for relatively minor X12 infractions..." ________________________________________________________________ Sign Up for Juno Platinum Internet Access Today Only $9.95 per month! Visit www.juno.com --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
