| 116 |
Claim Submitted to Incorrect Plan |
Ancillary Claims Filing Guidelines - Examples CareFirst Service Area Zip Code List |
| 500 |
Entity Postal/Zip Code |
FEP Local Plan Rules
CareFirst Service Area Zip Code List |
| 21 |
Missing or Invalid Information |
NOC Codes that Require Remarks |
| 455 |
Revenue Code for Services Rendered |
Revenue Codes that Require Remarks |
| 999 |
Claim received after hours |
Sample File Received After Cut-Off Time |
| 508,700 |
Claim Cannot Contain ICD-9 and ICD-10 Qualifiers |
ICD-10 Claims Submission Guidelines |
| 557,700 |
Service End Date [ ] must be on or after Compliance Date [10-01-2015] for ICD-10 |
ICD-10 Claims Submission Guidelines |
| 557,700 |
Service End Date [ ] must be before Compliance Date [10-01-2015] for ICD-9 |
ICD-10 Claims Submission Guidelines |
