As previously communicated, IBC is now only acceptingthe updated version of the 1500 Health InsuranceClaim Form (CMS-1500 claim form). The new claimform (02/12), which went into effect January 6, 2014,accommodates reporting needs for ICD-10 and alignswith data captured on electronic 837 transactions.
Field 24G
To ensure that claims submitted to IBC on the CMS-1500claim form do not reject, please be sure to completeField 24G ?Days or Units?, regardless of claim type. Daysor Units is the number of days that correspond to thedates entered in Field 24A or units as defined in CPT® orHCPCS coding manuals. A unit of at least ?1? is requiredin this field.
Failure to complete Field 24G will result in a rejectedclaim with code P0021, as shown below:
- Code P0021: ?Unit field is null or zero ___ for serviceline ___. 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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