CMD Application Updates - April

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April 2012

Release
Date
Unique
Identifier
A Brief Overview of the Problem / Solution 8.3.7
Update
4/29/2012 CMD-1833 Implemented a payer requirement for CPID#1490 (Mississippi Medicaid) to populated the primary payers paid amount in box 29 of the CMS-1500 form. 
4/29/2012 CMD-1894 Corrected an issue that was causing an incorrect balance to appear on the patients account when transferring a credit from one line item to another. 
4/29/2012 CMD-1895 Implemented a payer requirement for all Texas Workers Comp Payers to populate the Referring provider's state license number to print out in box 17a of the CMD-1500 form. In order for this to apply to the claim the Payer Type must be set to Workers Comp and the payers State must be listed as Texas. 
4/29/2012 CMD-1995 Corrected an issue that was causing claims to reject for the following reasons: "PCLM0501:INVALID CLAIM FREQ TYPE CODE 6" & "PCLM0500:INCORRECT CLAIM FREQ TYPE CODE 6". These rejections were caused by sending a Claim Frequency Code of "6". Frequency Code "6" is no longer a valid value. Codes, "1", "7" or "9" are the only allowed values. Values of "6" will automatically change to "7"
4/29/2012 RPT-552 Corrected an issue that was causing claims to reject by RelayHealth for the following reason: "Invalid AMT/COB Out of Balance".
4/29/2012 TXN-192 Corrected an issue that was causing the patients to be cut off of the Patient Recall report when printed.
4/29/2012 TXN-197 Corrected an issue that was causing duplicate ICD pointers to be submitted on claims.
4/29/2012 TXN-198 Corrected an issue that was causing claims to be rejected on the payer's front end due to the REF (Referring Provider Secondary Identification) segment being sent in Loop 2310A (Referring Provider Name).
4/29/2012 TXN-198 Implemented a payer requirement for CPID#5427 (Security Health Plan) to populate the Pay-To Providers NPI# to be submitted in Loop 2010AB (Pay-To Provider).
4/29/2012 TXN-198 Corrected an issue that was causing claims to not process due to unexpected REF segment.
4/29/2012 TXN-198 Implemented a payer requirement for CPID#7520 (Harrington Benefit Services) to populate the DA qualifier on claims in the SV204 (Unit or Basis for Measurement Code) segment in Loop 2400 (Service Line) when Rev Code 1002 is submitted.