Billing Beat

Version 5010 Remittance Advice (835) contains LCD/NCD information

July 24, 2012

The new version 5010 introduces some significant improvements. In 5010, the Health Policy Segment will report the National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). In addition, the 835 also will have the website where the specific LCD/NCD code is explained. Providers will have access to the code as well as the code description. The 5010 version of the 835 also will contain technical contact information not currently in version 4010. Version 5010 contains new segments such as coverage expiration date and claim received date which will help provider’s access important information without manual intervention.

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