http://www.quickscrip.net/wiki/index.php?action=history&feed=atom&title=Submission_Clarification_Codes 2026-04-04T20:36:15Z Revision history for this page on the wiki MediaWiki 1.41.1 http://www.quickscrip.net/wiki/index.php?title=Submission_Clarification_Codes&diff=170&oldid=prev 2015-06-16T18:54:22Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 18:54, 16 June 2015</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l31">Line 31:</td> <td colspan="2" class="diff-lineno">Line 31:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Insurances will also use this field for other, less common overrides. When an insurance is uncertain about a doctor's new NPI, they may require a '''/XD42''' or '''/XD43''' to override a reject: '''Missing/Invalid DOC NPI'''.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Insurances will also use this field for other, less common overrides. <ins style="font-weight: bold; text-decoration: none;">&lt;br/&gt; </ins>When an insurance is uncertain about a doctor's new NPI, they may require a '''/XD42''' or '''/XD43''' to override a reject: '''Missing/Invalid DOC NPI'''<ins style="font-weight: bold; text-decoration: none;">. Please verify the NPI before submitting this override, as you can be subject to insurance audit if you submit an invalid NPI</ins>.</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Certain Insurances also require a '''/XD08''' for compound claims.</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Certain Insurances also require a '''/XD08''' for compound claims.</div></td></tr> </table>

Cecswiki http://www.quickscrip.net/wiki/index.php?title=Submission_Clarification_Codes&diff=155&oldid=prev 2015-06-12T16:38:00Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:38, 12 June 2015</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l22">Line 22:</td> <td colspan="2" class="diff-lineno">Line 22:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|06|| Starter Dose</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|06|| Starter Dose</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>|07|| Medically <del style="font-weight: bold; text-decoration: none;">Nessesary</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>|07|| Medically <ins style="font-weight: bold; text-decoration: none;">Necessary</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|-</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|08|| Process Compound for Approved Ingredients</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>|08|| Process Compound for Approved Ingredients</div></td></tr> </table>

Cecswiki http://www.quickscrip.net/wiki/index.php?title=Submission_Clarification_Codes&diff=153&oldid=prev 2015-06-12T16:34:21Z

<p>Created page with &quot;Transmission fields NX-354 and DK-420 contain the Submission Clarification Code Count and Submission Clarification Codes, respectively. NX-354 contains the number of Submissio...&quot;</p> <p><b>New page</b></p><div>Transmission fields NX-354 and DK-420 contain the Submission Clarification Code Count and Submission Clarification Codes, respectively. NX-354 contains the number of Submission Clarification Codes attached to a single claim, and DK-420 (which can be stacked multiple times) contains each separate code. The field is always '''2-digits''' and can be attached to a claim by entering '''/XDxx''' (where xx = the code number) into the SIG lines. <br /> <br /> Insurances use Submission Clarification Codes as a form of override, typically on claims that need to be filled early, have a larger than usual supply, or have been misplaced and need to be replaced. Below are commonly used clarification codes.<br /> <br /> {| border=&quot;1&quot; cellpadding=&quot;2&quot;<br /> |-<br /> |width=&quot;100pt&quot;|'''Code''' <br /> |width=&quot;200pt&quot;|'''Description'''<br /> |-<br /> |00|| Not Specified <br /> |-<br /> |01|| No Override<br /> |-<br /> |02|| Other Override<br /> |-<br /> |03|| Vacation Supply<br /> |-<br /> |04|| Lost Prescription<br /> |-<br /> |05|| Therapy Change<br /> |-<br /> |06|| Starter Dose<br /> |-<br /> |07|| Medically Nessesary<br /> |-<br /> |08|| Process Compound for Approved Ingredients<br /> |-<br /> |09|| Encounters<br /> |-<br /> |99|| Other<br /> |}<br /> <br /> Insurances will also use this field for other, less common overrides. When an insurance is uncertain about a doctor's new NPI, they may require a '''/XD42''' or '''/XD43''' to override a reject: '''Missing/Invalid DOC NPI'''.<br /> <br /> Certain Insurances also require a '''/XD08''' for compound claims.</div>

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