Effective January 1, 2021 PacificSource will be implementing additional industry standard rejections that will occur at our front door once they pass through the Clearinghouse. This is an effort to help improve and ensure timely and accurate claims processing.
Missing/Improper/Invalid Diagnosis Codes
As a reminder, the following rejections are currently in place:
Missing, improper or invalid NDC
Required billing information invalid or incomplete
Rendering and/or billing provider data missing
Subscriber information incomplete or not found