April 20, 2000

MEDI-782-00

TO: ALL MEDICARE PROVIDERS

SUBJECT: ANSI CODES AND DEFINITIONS APPEARING ON THE MEDICARE REMITTANCE ADVICE

PRIMARY INTERESTS: BUSINESS OFFICE MANAGERS, MEDICAL DIRECTORS, FINANCIAL REPRESENTATIVES

Effective May 1,2000 Medicare will begin using ANSI Remarks Codes to further define the reason for denial of claims. The codes will appear on the Medicare Remittance Advice along with the ANSI Reason Codes currently used. The use of the Remarks Codes is a result of the implementation of the Claims Expansion and Line Item Processing (CELIP).

Attached is a complete list of ANSI Codes and Definitions that appear both on the electronic and hardcopy remittances.

THIS BULLETIN SHOULD BE SHARED WITH ALL HEALTH CARE PRACTITIONERS AND MANAGERIAL MEMBERS OF THE PROVIDER STAFF. THE INTERNET VERSION OF THIS BULLETIN DOES NOT CONTAIN THE ATTACHMENT.

Questions pertaining to this notice should be directly to our Customer Service area at (423) 755-5950.