Texas Medicare 00900 04402

EDI Support (866)749-4302
 
Customer Service - Medicare Part B J4
Provider Contact Center: (866) 280-6520 option 4 for Texas
 
Customer Service - Medicare Part A J4
Provider Contact Center: (866) 640-9202

IVR Contacts


Customer Service - Interactive Voice Response (IVR) - J4

IVR: (877) 567-9230  (bypass # 8)

Hours:
Monday through Friday 6:30 a.m. – 6:00 p.m. (all service areas)
General information is available 24 hours a day.
Part A - Saturdays 7 a.m. – 1 p.m. (CT)*
* Unavailable the first Saturday following the third Friday of the month

Customer Service - IVR - Medicare Part B Virginia

IVR: (866) 502-9049

Monday through Friday 6:30 a.m. – 5:30 p.m. ET
General information is available 24 hours a day.

Texas Medicare Home             GPNET Edits             Search page for EOB Adjustment and Remark Codes
 
Showing 12 items
Error CodeError MessageError DescriptionError Resolution
Sort 
 
Sort 
 
Sort 
 
Sort 
 
Error CodeError MessageError DescriptionError Resolution
MSG-V63 Other Subscriber 1st Name invalid, alpha's only Case/Policy 2/Insured/First Name, make sure the insured has a first name, it should be only letters  
MSG-V16 Subscriber First Name invalid - HL Case/Policy 1/Insured/First Name, make sure the insured has a first name, it should be only letters  
MSG-C20 Proc. requires Ref Prov NPI HL The claim is missing the Referring Provider NPI. Make sure the Case has referring provider and that it has an NPI.  
MSG-B01 Member of Group cannot be Billing Prov The provider is in a group but is not billing with Group NPI  
MSG-Y1K BILLING PROVIDER SSN OR EIN NOT ON CROSSWALK Medicare has SSN on file while the claim file was submitted with Tax ID MSG-Y1K BILLING PROVIDER SSN OR EIN NOT ON CROSSWALK 
Y1A or Y1B or Y1E or Y1F NPI without a EI or SY Ref the claim was sent with the NPI but without a Tax ID or SSN, make sure you are on latest version of InterfaceEDI  
MSG-186 FILE TRAILER RECORD (IEA/999) - MISSING If this error occurs on a response that appears to be from the payer, then the clearinghouse should be contacted to see if they resent the claims. Else resend the claims.  
 OTH PAYR REND PRV NOT = LU OR EI; make sure you are sending claims with the Send NPI Only Claims check box checked and make sure you are on the latest update.  
MSG-V0B EMC enrollment required HL= Medicare does not recognize the NPI, double check the NPPES data for Billing and Rendering Provider. MSG-V0B 
MSG-VNF Total purchase service amount missing The case facility has the purchased service check box check. Edit the Case/Facilty.  
MSG-V13 Claim filing IND invalid; not MB or MA Edit the insurance in Medisoft, on the Other tab, change the Type to Medicare  
MSG-V12 Ins name req when Group # submitted the patient may have a group policy number in the case.  
Showing 12 items