DIAGNOSIS CODE CUT OFF

Technical problems with Medisoft.
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krpinct
Posts: 16
Joined: Mon Aug 12, 2019 8:19 am

DIAGNOSIS CODE CUT OFF

Post by krpinct » Tue Jan 19, 2021 10:51 am

when I submit claims, last two digits of first diagnosis code are cut off if they exceed 4 digits, how do I prevent that from happening. thank you

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Gavin Walker
Posts: 4626
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: DIAGNOSIS CODE CUT OFF

Post by Gavin Walker » Wed Jan 20, 2021 9:32 am

As I suspect from your previous post, you are submitting claims in print-image format.

There are 2 options here:

1. Switch to ANSI 5010 Professional claims format. There is no mapping involved and the clearinghouse will receive the entire diagnosis regardless of it's length.
2. Your clearinghouse needs to update their mapping of their print image claims with you. Send a test claim with as many diagnosis codes as you will ever use and make sure all diagnosis codes are at least 4 or more digits. Then ask them to update their mapping using that test claim.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

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