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Loop 2000b

Posted: Fri Oct 19, 2012 9:35 am
by Jennifer
My Availity report is showing my Medicare claims rejecting. Said I had to ask my software vendor about the loop and segments:
this is the error:
Category: Acknowledgement/Rejected for relational field in error.
Status: Duplicate Submission Note: use only at the information receiver level in the He
alth Care Claim Acknowledgement transaction. Entity: Receiver
And this is what Availity says it relates to:
As of 9/27/12, Medicare plans have implemented a new edit, loop 2000B SBR03 and SBR04 should no longer be sent.
Thank you.

Re: Loop 2000b

Posted: Fri Oct 19, 2012 2:51 pm
by Gavin Walker
Is the type on your insurance carrier record for Medicare in your Medisoft set to "Medicare"? Also, make sure the relationship code on the Medicare policy tab in the case is "Self". What version of Medisoft do you have and are you sending claims in ANSI 5010 format?

Re: Loop 2000b

Posted: Mon Oct 22, 2012 1:15 pm
by Jennifer
All my settings are the same with no Medicare issues since sending claims with the 5010 changeover. I am on V17 SP2 17.2.2.173. I have two clinics and one went through just fine. I will try to resend the claims. Maybe an odd glitch.
thank you.