As previously communicated, AmeriHealth is now only accepting the updated version of the 1500 Health Insurance Claim Form (CMS-1500 claim form). The new claim form (02/12), which went into effect January 6, 2014, accommodates reporting needs for ICD-10 and aligns with data captured on electronic 837 transactions.
Field 24G
To ensure that claims submitted to AmeriHealth on the CMS-1500 claim form do not reject, please be sure to complete Field 24G ?Days or Units?, regardless of claim type. Days or Units is the number of days that correspond to the dates entered in Field 24A or units as defined in CPT® or HCPCS coding manuals. A unit of at least ?1? is required in this field.
Failure to complete Field 24G will result in a rejected claim with code P0021, as shown below:
- Code P0021: ?Unit field is null or zero ___ for service line ___. Please correct and resubmit.?
Updated toolkit available
Our CMS-1500 toolkit has been updated to reflect detailsrelated to this requirement.
For additional tips on proper claims submission, pleasereview the article, Tips for submitting claims using thenew CMS-1500 (02/12) claim form, which was publishedin the May 2014 edition of Partners in Health UpdateSM.
If you have any questions, please contact your Network Coordinator.
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