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Noridian Custom Edits Update

For All Medicare Submitters

Noridian Custom Edits (NCE) integration went live October 4, 2020.

Noridian has recently updated the edit spreadsheet at http://www.edissweb.com/cgp/reports/. Edits have been added, and the information provided for each edit has been expanded.

NCE report in the 2200D STC and 2220D STC segments. The edit message will be in STC12. 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.~

NCE enhance claims editing for both providers and payers and integrate with existing claims acknowledgement reporting (277CA) on 837 electronic claim submissions.




Message Sent:
November 3, 2020