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February 24, 2004
 Health Insurance
Portability and Accountability Act Health Care Claim
Implementation Guide
Effective July
1, 2004, Medicare systems are enforcing additional HIPAA edit
instructions related to X12N 837 Institutional Claims. These
changes are required by the HIPAA Implementation Guides for the
837 transaction. It is important for you to become familiar with
the changes outlined in this article. Failure to comply with these
changes will result in claim rejects and accompanying payment
delays. Be sure your billing processes comply with these changes
to continue correct and timely payments. Refer to the Background
section for an itemized list of the required changes.
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