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STILL HAVE QUESTIONS ABOUT AN EDIT?
Contact the eMedNY Call Center during the following hours:
For provider inquiries pertaining to non-pharmacy billing, claims or provider enrollment:
7:30am - 6:00pm (ET), Mon.-Fri. (excluding holidays)
For provider inquiries pertaining to eligibility, Point of Service (POS), DVS, or Pharmacy claims:
7:00am - 10:00pm (ET), Mon.-Fri. (excluding holidays)
8:30am - 5:30pm (ET) Holidays and Weekends
FIND EDIT INFORMATION to crosswalk the X12 Codes (Claim Adjustment Reason Code-CARC; Remit Adjustment Reason Code-RARC, Claim Status Codes-CS) received on the X12 835 Remittance or the X12 277 Claim Status Respose to an eMedNY edit. Use this search tool to obtain explanations, potential causes, and possible solutions to the failed edit.
NOTE: Only edits that may deny a claim are included in this tool. eMedNY proprietary edits are not available on the 835 Remittance. Pharmacy only edits (NCPDP) are not included in this list unless they are a global denial edit (example 00705 for Duplicate Claim).
TO SEARCH FOR AN EDIT filter the results by using one of the following methods: