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Top EDI Claim Rejections

The following information identifies the top reasons claims rejected. This is being provided to help you increase the number of claims that successfully pass through the edit process and into the FISS claims processing system.

More Information

The audit trail report identifies claims that are accepted and rejected by the Cahaba Part A edit process, and the reason why a claim rejected. Referring to this report will allow you to correct and resubmit claims quickly, reducing delay of payment. Audit trail reports are available the next business day for files that are received before 3:30 p.m. Central Time in the same FTP directory where you uploaded your files. If you are not receiving your audit trail reports, contact Cahaba Part A EDI Services. Please note that if you use a clearinghouse or billing service to submit your claims electronically to Cahaba your clearinghouse or vendor would receive the audit report.

Page last updated: August 12, 2008