We validate and apply HIPAA claim edits before the claim is processed. This means rejections that may occur will appear at a clearinghouse level so you can identify and correct rejected information before we accept and process the claim.
Will the List of Claim HIPAA Edits Change?
We periodically update the claim edit list and note changes, additions or deletions by date in the legend at the bottom of the last page.
Questions about Claim Edits or Smart Edits? Contact your EDI vendor or clearinghouse for assistance.