31313

FISS Narrative
The release of information indicator field contains an invalid value.

  • UB04 the valid values are 'Y', 'N', 'R' or blank
  • 837 the valid values are 'A', 'I', 'M' 'N', 'O' or 'Y'

Correction Steps
Please verify billing and if appropriate, correct

  • Online providers: PF9 to store the claim
  • Other providers: Return to the MAC

Explanation and Suggestion
This locator is identified on the claim with field name 'RI' and the UB-04 field locator is 52 A, B, C. The Release of Information Certification Indicator (RI) indicates whether the provider has on file, a signed statement permitting the provider to release data to other organizations in order to adjudicate the claim. The 'RI' field locator is a required field on the claim. A 'Y' code indicates that the provider has on file a signed statement permitting it to release data to other organizations in order to adjudicate the claim.  

Please ensure this field locator is present and accurate. Correct and re-submit the claim. Notify software vendors if necessary.

 

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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