DC Medicaid Waiver ANSI 5010

If you are having problems with DC Medicaid Waiver accepting your claims in the judication process, there are a few setup items that must be done in insurance company maintenance. In the ANSI tab check the API Format check box. API stands for atypical provider. In CLM6 select ‘Y’. For CLM12 select ’03’. In the insurance company demographics where is says NPI Override (API) enter your provider number. You should also be at version 4956 or higher. If you still have questions give us a call. Thanks.

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