Starting July 1 Claims Submitted with Group ID “TXVDP” Will Reject

On July 1, 2012, pharmacies will be required to submit the appropriate program-specific Group ID on all B1, B2, and E1 transactions. For a fee-for-service (FFS) claim, the accepted values in the “Group ID” field (Field 3Ø1-C1) are “MEDICAID”, “CHIP”, “KHC”, or “CSHCN”. If an improper Group ID is submitted for a FFS claim, the claim will reject with error code “Ø6” (M/I Group Number).

Please contact your software provider regarding the preparedness of your system.

http://content.govdelivery.com/bulletins/gd/TXHHSC-447d2e?reqfrom=share

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