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This information is a companion to the Pre-Pass Edits for Submitters document, located in the HIPAA Claims Processing Package - 4010/4010A1 Information section of the EDI Services Web site. The Pre-Pass Edits for Submitters document is a listing of the HIPAA Implementation Guide Edits that an inbound HIPAA claims file is subjected to. In general, this listing is updated on a quarterly basis, when Medicare system changes are made. However, some Medicare system changes are "fast-tracked" due to compliance reasons, and updates to the Pre-Pass Edits for Submitters document may not be received at that time. Therefore, new edits or future edit information will be posted to this section of the EDI Services Web site, in lieu of being updated on the pre-pass edit listing. If this is your first visit to this page, please consider printing this information and placing it with your pre-pass edit listing to reference together, as necessary.
Subscribers to the EDI ListServe will receive notification when updates are posted to this page. Subscribe to the EDI ListServe to receive notification of electronic data interchange information and updates as it pertains to the way you and your clients do business with the Upstate Medicare Division (UMD).
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