Palmetto/Trailblazer Medicare Part B Processing Issue

Date:   1/9/2012

Palmetto Trailblazer experienced a processing issue for all Medicare Part B claims submitted to Infinedi 01/03/12 and 01/04/12.  Under your Q-Reports tab you received a report with the following reject:

 

Transaction rejected

Transaction Status: A8 - Acknowledgement / Rejected for relational field in error.

Transaction Detail: 496 - Submitter not approved for electronic claim submissions on behalf of this entity. Note: This code requires use of an Entity Code.

Entity Identifier: 85 - Billing Provider

 

This affected the states listed below:

 

Oklahoma, Colorado, Texas, New Mexico, Southern California, Northern California, Hawaii, Nevada, North Carolina, Ohio, South Carolina and Virginia.  This also affected Railroad Medicare.

 

Infinedi will be resubmitting all the rejected claims on 01/10/12

Provider Action:

Please watch your claim level confirmations over the next few days to make sure your resubmitted claims are accepted. If questions or feedback, please contact our customer service department at 1-800-688-8087.