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Carriers (PM)

Visit Number No Longer Appended for Certain CPIDs
To meet specific carrier requirements, the alpha character (included on the visit number to
differentiate the number of times the claim is billed) will now be stripped from claims for the
CPIDs listed below.

    Note: Currently, the PM appends each visit number on a claim with an alphabetic
    character in order to differentiate the instances a claim is billed or rebilled. Each time
    you rebill a claim, the alphabetic character will change to the next letter (e.g., 1234A,
    1234B, 1234C, etc.).

CPID 1402, 1410, and 1429

  • Professional electronic, X12 (5010 downloadable), and CMS 1500 paper claims

CPID 1513

  • l Institutional electronic and UB04 paper claims

Paper claims using the “Medicare” Claim Profile will not strip the alpha character on the visit
number, as none of the associated CPIDs are for Medicare payers.

    Note: Appended visit numbers are always displayed in the Claim Run Summary
    report for all carriers.

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The Pain Care Center

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