Purchased Service Identifier

Technical problems with Medisoft.
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mbpros
Posts: 312
Joined: Fri Mar 11, 2011 6:59 pm

Purchased Service Identifier

Post by mbpros » Tue Nov 28, 2017 2:33 pm

I billed some lab codes for a chiropractor and most went through but for one claim it denied for the following:


Version #: 5010A1 Error Message Value of ele
ment PS101 is incorrect. It must match corresponding Purchased Service Provider Identifi
er in REF02 from loop 2420B when used or to NM109 from loop 2420B. Segment PS1 is define
d in the guideline at position 4880. Invalid data: 1598986275
Error Initiator: HIPAA Loop: 2400
Segment ID: 2420B Element #: NA
Version #: 5010A1 Error Message Loop 2420B i
s missing. It is required when segment PS1 (Purchased Service Information) is used (purc
hased services are being billed/reported on this claim).
----------------------------------------------------------------------------------------

Not sure exactly what I have to correct in Medisoft OR in the IGuide (using the standard 5010 I Guide Professional).

Steve
Steven Zats
Medical Billing Professionals

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Gavin Walker
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Re: Purchased Service Identifier

Post by Gavin Walker » Thu Nov 30, 2017 9:27 am

1598986275 should be the NPI # from your Case Facility. I think maybe they are saying that NPI # is invalid for that particular purchased service.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

mbpros
Posts: 312
Joined: Fri Mar 11, 2011 6:59 pm

Re: Purchased Service Identifier

Post by mbpros » Thu Nov 30, 2017 10:32 am

Thanks...will check with the clearinghouse.

Steve
Steven Zats
Medical Billing Professionals

mbpros
Posts: 312
Joined: Fri Mar 11, 2011 6:59 pm

Re: Purchased Service Identifier

Post by mbpros » Thu Nov 30, 2017 6:10 pm

Hey, Gavin: This is what Availity said:

After looking at the claim we see what the issue is. You are sending the purchase service information without the purchased service provider information which is located in Loop 2420B. All you will need to do is add that Loop and resubmit the claim and it should process just fine with no issues..

I am not sending the facility on claims now. If I click to Send Facility on Claims with a 77 qualifier, will that create the Loop 2420B? And except for this one claim I have never had a problem sending professional claims for this practice without the facility so will having the facility on all claims cause any harm?

Thanks,
Steve
Steven Zats
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Gavin Walker
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Re: Purchased Service Identifier

Post by Gavin Walker » Fri Dec 01, 2017 9:06 am

2420B only gets filled out if there is a purchased service on the claim. But there is also another loop for service facility. I am not aware of any cases where sending the service facility causes claims to reject with the exception of Medicare, which I believe if the payer type is Medicare, then Revenue Management will suppress that loop if the facility matches the billing provider. Qualifier 77 should be fine.

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