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Part A NCE Began July 25, 2021

For All Medicare Submitters

Noridian Custom Edits (NCE) for Part A submissions went live on July 25, 2021.

NCE populate in the STC elements of the 277CA with distinct code sets that can be cross-referenced to the NCE Spreadsheet. To assist submitters' NCE review, Noridian established edit spreadsheets for Part A at https://www.edissweb.com/cgp/reports/nce-pa.html and for Part B at https://www.edissweb.com/cgp/reports/nce.html.

NCE integrate with existing claims acknowledgement reporting (277CA) on 837 electronic claim submissions. NCE report in the 2200D STC and 2220D STC segments.

An example is included below:

STC*A3:23:41**U*********SMARTEDIT PATTERN 45 PER MEDICARE GUIDELINES TEAM SURGERY IS NOT PERMITTED FOR PROCEDURE CODE 99214.~




Message Sent:
September 7, 2021