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Jennifer
- Posts: 24
- Joined: Tue Jun 21, 2011 11:05 am
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by Jennifer » Fri Oct 19, 2012 9:35 am
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.
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Gavin Walker
- Posts: 4625
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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Contact:
Post
by Gavin Walker » Fri Oct 19, 2012 2:51 pm
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?
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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Jennifer
- Posts: 24
- Joined: Tue Jun 21, 2011 11:05 am
Post
by Jennifer » Mon Oct 22, 2012 1:15 pm
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.