Description
Effective April 1, 2015, outpatient types of bills 12X, 13X, 14X, 22X, 23X, 34X, 72X, 74X, 75X and 85X must have a valid nine-digit ZIP code must be submitted in the service facility ZIP Code field.

A valid nine-digit ZIP Code is defined as:

  • The first five digits must be a valid ZIP Code located on the CMS ZIP Code file
  • The plus 4 ZIP Code must be present and not equal to 0000 or 9999

Resolution
Obtain the valid nine-digit ZIP Code and enter it on RTP'd claim in DDE and F9 or submit as a new claim.

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department


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