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Jurisdiction 11 Part B
Frequently Asked Questions



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Are there MSP examples available to view?09/16/2014
Do you have any recommendations on software specifically for outpatient physical therapy?09/16/2014
Do you know if the physical address requirement is just for Medicare or all insurance?09/16/2014
For physical therapy claims where the service is performed in the patient's home (PS=12), does there need to be a 2310C loop with the patient's home address? If so, does is it need a 9-digit zip code?09/16/2014
How do we distinguish test from production submissions?09/16/2014
I heard that 5010 requires a physical address in box 33 and P.O. Boxes are no longer accepted. Is this true?09/16/2014
If we pass testing as a submitter, will we be able to submit claims for all our providers without them testing as well?09/16/2014
Is the 277CA returned for each test submission?09/16/2014
Is the taxonomy code required in the 2000 loop for 5010?09/16/2014
Must we send a 270 v5010 to receive the 271 v5010?09/16/2014
PC-ACE Pro32 software FAQs09/16/2014
What if we do not receive the 999 and 277CA consistency?09/16/2014
What information do I need to have available when calling for Electronic Data Interchange (EDI) assistance?09/16/2014
What is an approved software vendor?09/16/2014
What is the most current version (date) of the 837 implementation guides?09/16/2014
Where in the 277 CA file can we find the rejection message that provides the detailed rejection reason description?09/16/2014
Where is the 5010 certified vendor list on your website?09/16/2014
Will one test file allow me to move to PROD? And does the file require 25 claims?09/16/2014
Will you reject claims with a P.O. Box in the billing provider address? Will you reject claims where the group number and policy number are the same values?09/16/2014
Are Critical Access Hospitals (CAHs) subject to the outpatient therapy caps and thresholds in 2013?09/12/2014
Can I appeal an outpatient therapy threshold prior authorization decision?09/12/2014
Can I submit ICD10 test files with my existing Submitter ID or do I have to obtain a new one?09/12/2014
How can I search local coverage determinations (LCD) for a specific CPT/HCPCS code?09/12/2014
How Do I Find a Form?09/12/2014
Is it acceptable to highlight information in the medical records when responding to a Medical Review Additional Documentation Request (ADR)?09/12/2014
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last updated on 9/01/2014
ver 1.0.51