Medicaid claims

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bright88
Posts: 8
Joined: Fri Feb 16, 2018 11:24 am

Medicaid claims

Post by bright88 » Mon Apr 09, 2018 9:34 am

I am getting this rejection on my secondary Medicaid claims:
Special Program Indicator is invalid. 2300.CLM*12
How do I fix this problem?
Thanks in advance

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Gavin Walker
Posts: 4625
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Medicaid claims

Post by Gavin Walker » Mon Apr 09, 2018 5:13 pm

In Medisoft go to the patient's Case -> Medicaid and Tricare tab and make sure you have a proper value in Special Program Code and Special Program fields. If you aren't billing under a special program, then leave these fields blank.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

bright88
Posts: 8
Joined: Fri Feb 16, 2018 11:24 am

Re: Medicaid claims

Post by bright88 » Tue Apr 02, 2019 4:12 pm

I'm still having the same issue with the rejection message Special Program indicator is invalid.2300.CLM*12 with my Medicaid. I have never been able to send secondary claims through Trizetto. We don't have any special programs code. I don't know what else to do. Medicaid can't tell me anything and Trizetto hasn't been able to fix it. Do you have any other advice? Thanks so much for your help.

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Gavin Walker
Posts: 4625
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Medicaid claims

Post by Gavin Walker » Mon Apr 08, 2019 1:28 pm

What kind of claims are you billing? Maybe you need to enroll for a special program with Medicaid in order to bill these claims electronically.

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