ANSI Claim Rejections Examples ANSI Claim Rejections occur at multiple locations within the electronic EDI claim. Suppliers are strongly encouraged to review all aspects of a claim denial. Find below top 10 ANSI Claim Rejections. X223.423.2400. LX01.030 – This Claim is rejected for the Service line number greater than maximum allowable for payer. 2400.LX01 must be > 0 and … Read More →
Celerian Group Company EDI Connection Basics Celerian Group Company EDI team in an effort to ensure minimum downtime/interruption of services promotes effective immediately provision of the business information. How Many Lines Can Be Billed On An Electronic Claim? Part A and HHH: The Service Line Loop is located in the 2400 loop. Only 449 iterations of the 2400 loop … Read More →
CAQH CORE 250 Claim Status Infrastructure Rule Certification CAQH CORE 250 Rule states that an entity that processes X12 270/271 eligibility transactions, and does not process claim status transactions can become Phase II CORE-certified. Phase II CAQH CORE Operating Rules do not require an organization to conduct, use or process the X12 276/277 claim status transactions … Read More →
CORE 157: Eligibility and Benefits System Availability Rule Basic Guidelines CORE 157: Eligibility and Benefits System Availability Rule states that system availability must be no less than 86 percent per calendar week for both real time and batch processing modes. This will allow for health plan, (or other information source) clearinghouse/switch or other intermediary system … Read More →