Wrong Medicaid Qualifier
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Wrong Medicaid Qualifier
NM1*PR*2*MEDICAID*****PI*86916
N3*P.O. BOX 200555
N4*AUSTIN*TX*78720
REF*G2*331063301
CLM*678*175***11:B:1*Y*A*Y*Y
HI*ABK:Z630
NM1*82*1*DARBY*DONNA****XX*1063942449
REF*G2*377047101
Please advise.
Thanks,
Steve
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Wrong Medicaid Qualifier
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: Wrong Medicaid Qualifier
Steve
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Wrong Medicaid Qualifier
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: Wrong Medicaid Qualifier
Steve
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Wrong Medicaid Qualifier
Rendering provider (2310B):
Select Case rovider_ProviderID_LegacyQualifier1.toupper
Case "0B"
Result = rovider_ProviderID_LegacyQualifier1
Case "1G"
Result = rovider_ProviderID_LegacyQualifier1
Case "LU"
Result = rovider_ProviderID_LegacyQualifier1
Case Else
Result = "G2"
End Select
Payer (2010BB):
If rovider_ProviderID_ProviderClaimType = 2 Then
Select Case :Group_GroupID_LegacyQualifier1
Case = "LU"
Result = "LU"
Case Else
Result = "G2"
End Select
Else
If not string.isnullorempty( rovider_ProviderID_LegacyQualifier1 ) Then
Select Case rovider_ProviderID_LegacyQualifier1
Case "LU"
Result = "LU"
Case Else
Result = "G2"
End Select
End If
End IF
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Wrong Medicaid Qualifier
You can:
1. Setup the receiver to Suppress Sending Legacy IDs.
2. Delete the Medicaid Legacy ID for the provider out of Medisoft.
That should fix your claim.
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: Wrong Medicaid Qualifier
Medical Billing Professionals
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: Wrong Medicaid Qualifier
So the issue still exists with the guide being incorrect, but.....
Thanks,
Steve
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Wrong Medicaid Qualifier
Result = rovider_ProviderID_LegacyQualifier1.ToUpper
The paper claim form would be configured to something similar.
-
- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: Wrong Medicaid Qualifier
Thanks,
Steve
Medical Billing Professionals