Wednesday, April 15, 2009

RelayHealth Notify: Claims: CPID 3510 California Medi-Cal: Claim processing

 .  Please read the following bulletin from CPID 3510 California Medi-Cal.
 Action Required:  Please be aware of the following announcement from California Medi-cal regarding claims processing.
 
Billing More than 99 Units Requires Two Claim Lines
Providers are reminded that claims billed for more than 99 units must be billed on two or more claim lines, with no more than 99 units per claim line. If more than 99 units are billed, providers should use a second claim line (or more) to complete their billing. Claims billed with more than 99 units on a single line will be denied with Remittance Advice Details (RAD) code 9907: The quantity per claim line cannot exceed 99 units. For more information, providers should refer to the UB-04 Completion: Outpatient Services section in the appropriate Part 2 manual.
 

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