Ordering/Referring Provider Case Sensitive Edits
National Government Services, one of the largest Medicare contractors in the country, released the following information to avoid unnecessary claim rejections. They will reject claims when lower case characters are submitted in the ordering/referring provider field. See their notice below for details: Ordering/Referring Provider Case Sensitive Edits CEDI has front end edits in place to validate the data submitted conforms to HIPAA and Medicare requirements. As part of these edits, the Common Electronic Data Interchange (CEDI) utilizes external code sources…
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