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eMedNYHIPAASupport > eMedNYHIPAASupport What's New

eMedNYHIPAASupport What's New


Status Date Page/Document Description
New
Changed
4/24/2025 Edit/Error Knowledge Base (EEKB) Search Tool The following updates have been made on the EEKB Search Page:
New Edits Added:
  • 02361
  • 02362
  • 91099
Missing Claim Status Codes added to edits:
  • 91074
  • 91075
  • 02280
Obsolete edits retired:
  • 00400
  • 00401
  • 00402
  • 00404
  • 00405
  • 00406
  • 00408
  • 00436
  • 00789
Missing Entity ID added to edit:
  • 02130
Changed 4/9/2025 Web Services

The following Web Service User Manual has been updated:

New 3/5/2025 Edit/Error Knowledge Base (EEKB) Search Tool

One new edit has been added to the EEKB:

02363 Diagnosis Code Invalid for CREDIT Rate Code

Changed 3/5/2025 Edit/Error Knowledge Base (EEKB) Search Tool Update to edits 02308 and 02309 to indicate these edits now incorporate Chronic Disease Self-Management Program (CDSMP) into the edit logic.
New 1/31/2025 Edit/Error Knowledge Base (EEKB) Search Tool

One new edit has been added to the EEKB:

02364 Rate Code Requires Recipient Exception Code 'PD'

Changed 12/11/2024 Web Services

The following Web Service User Manuals have been updated:

New 11/13/2024 Edit/Error Knowledge Base (EEKB) Search Tool Code Changes
eMedNY Edit NumberX12 Code Update
00224Update CARC from 16 to 252
00233Update CARC from 16 to 252
00234Update CARC from 16 to 252
02154Update CSC from 153 to 806
02243Update RARC N34 to RARC N904
02305Update CSC from 109 to 806
NOTE: Acronyms (CARC - Claim Adjustment Reason Code, found on the 835), (RARC - Remittance Advice Remark Code, found on the 835), (CSC - Claim Status Code, found on the 277). The external X12 Code Sets are published here: https://x12.org/codes

Edit Clean-up
Retired Edits Removed
00073
00695
01018

Changed 10/24/2024 User Guides

The following Transaction Instruction Guide has been updated:

New 10/10/2024 Edit/Error Knowledge Base (EEKB) Search Tool As a result of a copy and paste error in a source document, Edit 02232 detail was overwritten by Edit 02233. This update corrects that error by restoring the text that was overwritten.

Also in this update are some minor typo corrections.

New 9/13/2024 Edit/Error Knowledge Base (EEKB) Search Tool

20 eMedNY edits have had their X12 code values updated:

eMedNY Edit NumberX12 Code Update
01264, 02305Update RARC from N216 to N424
01302Update RARC from N216 TO N79
02154Update RARC from N52 TO N424
02157, 02158, 02159, 02160, 02161, 02162, 02163, 02164, 02165, 02166, 02223, 02287, 02290Update RARC from NONE TO N892
00224, 00233, 00234Update CSC from 468 TO 785

NOTE: Acronyms (RARC - Remittance Advice Remark Code, found on the 835), (CSC - Claim Status Code, found on the 277)

Changed 9/3/2024 FAQs for eMedNY HIPAA Support

A New FAQ for Dental Billing has been added


Changed 8/26/2024 User Guides

The following Web Services Guide has been updated:

New 8/8/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One new edit has been added to the EEKB Search Tool:

02360 State Reviewer Paid Lines - Manual Review
Changed 8/1/2024 User Guides

The following Web Services Guide has been updated:

Changed 8/1/2024 Sample Files

All of the MCE 834 CG Sample Files have been updated.

New 7/23/2024 Edit/Error Knowledge Base (EEKB) Search Tool

Four (4) new edits have been added to the EEKB Search Tool:

02350 Funding Not Available For Social Care Network Claim
02355 Category Of Service (COS) Invalid For Coordinated Specialty Care (CSC) Rate Code
02356 Coordinated Specialty Care (CSC) Date Of Service Not Last Day Of Month
02359 Matching Zip/Location Code Not Found For School Based Mental Health Claim
New 5/16/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One edit has a CARC update:

01721 Changed from CARC 16 to 306 for better edit messaging

Three (3) edits have a Claim Status Code update:

00068, 00073, 01007, 01018 Changed Claim Status Code from from 187 to 718 for better edit messaging.
New 4/11/2024 Edit/Error Knowledge Base (EEKB) Search Tool

One (1) new edit added:

02329 New edit
Changed 3/29/2024 User Guides

The following Transaction Instruction Guide has been updated:

035-4:44:08 AM