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Part B Top Ten Medicare Edits

Last Updated June 5, 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 a relational field in error within the Billing Provider's National Provider Identifier (NPI) and Billing Provider's Tax ID. X999.DUPE
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 Invalid Information for a Subscriber's contract/member number X222.121.2010BA.NM109.020
This Claim is rejected for relational field Information within the HCPCS X222.351.2400.SV101-2.020
This Claim is rejected for Invalid Information within the Claim Frequency Code X222.157.2300.CLM05-3.020
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 within the HCPCS and Line Adjudication Information X222.480.2430.SVD03-2.020
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 Detailed description of service X222.351.2400.SV101-7.020