Standard Carton Pack Structure (856 ASN) The Standard Carton Pack structure should be used in an environment where identical SKUs are packed within one or more physical shipping containers [e.g.,12 blue twin-size sheets (one U.P.C.)]. The transaction hierarchy is: Shipment, Order, Item, and Packaging (Tare and Pack). In this structure, the Item level is subordinate … Read More →
856 Pick and Pack Hierarchical Structure The Pick and Pack structure should be used in a Pick and Pack order filling environment. Typically, when different SKUs are packed within the same physical shipping container [e.g., 48 men’s shirts in 3 colors and 4 sizes each (12 different U.P.C.s)], at least one packaging level must be … Read More →
Medical Associates Health Plan Payer Specific Business Rules Submitters may send a 276 claim status request on claims filed electronically (via an 837 Health Care Claim) or on paper. MAHP/HC does not distinguish between paper and electronic claims when issuing a 277 response. Date ranges returned on the 277 response (DTP03) are those submitted on … Read More →
Claim Requests for Reconsideration, Provider Disputes and Corrected Claims (Sunshine Health Guidelines) Provider billing department will need to submit to the appropriate payer to prevent payment delays. The provider should use the same date of service guidance on the first page to determine the correct payer. Corrected claims must be submitted within 90 days from the date … Read More →