Effective Aug. 25, 2022, a new Smart Edit will be available for commercial plans to help with coordination of benefits when you submit a claim.
How the new Smart Edit works
When you submit a claim for a member who has a commercial plan and primary health insurance with another carrier, you’ll receive 1 of the following 3 messages on your 277 Claims Acknowledgement report within 24 hours of submission:
What is the Smart Edits tool?
We developed the Smart Edits tool to identify billing errors within a claim so you can quickly review and repair problematic claims. We send these messages within 24 hours of a claim submission so you can review identified claims in a matter of hours instead of potential claims denials days later.
Claims that are accurately submitted and in compliance with the latest policies and regulations result in less rework, quicker approvals and faster payments.