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Printed Date: 9/22/2015
Palmetto GBA is excited to announce we have successfully implemented all enhancements to the 277CA report, as part of Smart Edits. Smart Edits is a process that returns pre-adjudicated claims information through claim acknowledgement transaction reports based on the Medicare 277CA. This system populates the STC*12 segment in the 2220D loop of the 277CA.
Example Smart Edit:
All direct submitters will receive the Medicare 277CA report with these new Smart edits. A list of the Smart Edits appears in the link below. Claims rejecting the pre-adjudication editing process are not forwarded to the claims adjudication system. If you choose not to correct the claim, then just resubmit the claim for processing.
Other examples of how the segment will appear can be found in our current GPNet Communications Manual (see link below). If you are currently using a clearinghouse or billing service to submit your claims, please share this information with them.
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Last Updated: 09/01/2020