Part B Top Ten Medicare Edits
Last Updated November 26, 2024
EDISS compiles a quarterly list of the Top Ten Medicare Part B edits. Submitters can use this information to avoid common claim rejections.
| Business Edit Message | Edit Number |
|---|---|
| This Claim is rejected for relational field due to Billing Provider's submitter not approved for electronic claim submissions on behalf of this Billing Provider | X222.087.2010AA.NM109.050 |
| This Claim is rejected for Invalid Information for a Rendering Provider's National Provider Identifier (NPI). | X222.262.2310B.NM109.030 |
| This Claim is rejected for relational field Billing Provider's NPI (National Provider ID) and Tax ID | X222.094.2010AA.REF02.050 |
| This Claim is rejected for Invalid Information for a Subscriber's contract/member number | X222.121.2010BA.NM109.020 |
| This Claim is rejected for Invalid Information in the Billing Provider's NPI (National Provider ID) | X222.087.2010AA.NM109.030 |
| This Claim is rejected for relational field Information within the HCPCS | X222.351.2400.SV101-2.020 |
| This Claim is rejected for relational field Information within the Detailed description of service | X222.351.2400.SV101-7.020 |
| This Claim is Rejected for an Invalid MBI/HIC Based on the MBI Transition Date | X222.121.2010BA.NM109.030 |
| Rejected due to duplicate ST/SE submission | X999.DUPE |
| This Claim is rejected for Invalid Information within the Claim Frequency Code | X222.157.2300.CLM05-3.020 |