Medical claim HCFA - 1500 submission error

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rhaber123
Posts: 415
Joined: Fri Dec 11, 2009 12:09 pm

Medical claim HCFA - 1500 submission error

Post by rhaber123 » Wed Apr 27, 2016 8:36 pm

to OD support team
I need to remove the section in the Medical claim HCFA - 1500 form under "Rendering ProviDder ID"
NPI : "P1 Treat Prov"
NPI : "P2 Treat Prov"
NPI : "P3 Treat Prov"
etc.....

when I submit the claim electronically , I get the following error message from blue shield and from blue cross:
2310B, Clm: The Rendering Provider Name (Loop 2310B, NM1) is only required when it is different from the Billing Pro vider (Loop 2010AA, NM1), otherwise, do not send.

From Blue Shield:
Message:-ACK/RETURNED - Missing or invalid information.-Normal-0x3938c72-Loop 2420E (Ordering Provider Name) is used. It should not be used when loop 2010AA is used with the same information. Loop 2420E is defined in the guideline at position 5000.This error was detected at:Segment Count: 30Character-Normal-0x3938b89-Segment PER (Ordering Provider Contact Information) is used. It should not be used when claim does not have DME or Oxygen Therapy Certification information. Segment PER is defined in the guideline at position 5300.
Last edited by rhaber123 on Mon May 02, 2016 9:14 am, edited 1 time in total.

User avatar
Arna
Posts: 444
Joined: Tue Jul 09, 2013 3:16 pm

Re: Medical claim HCFA - 1500 submission error

Post by Arna » Thu Apr 28, 2016 2:56 pm

Are you printing a copy of the claim, or sending electronically? (The HCFA 1500 is not equivalent to the X-12 Medical file that is generated.)
Is the claim set as Medical or Dental?
We may need to remote connect to take a look at the database and X-12 with you.
Entropy isn't what it used to be...

Arna Meyer

rhaber123
Posts: 415
Joined: Fri Dec 11, 2009 12:09 pm

Re: Medical claim HCFA - 1500 submission error

Post by rhaber123 » Thu Apr 28, 2016 3:58 pm

Tanks Arna, submitting electronically, medical claims.
busy today, will call you tomorrow Friday.
THANKS

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