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HIPAA: ASC X12N 837 v.5010 Issue with Attending/Rendering Provider

February 7, 2013

Medi-Cal is experiencing an issue processing hospital/institutional outpatient claims. The issue occurs when the same provider is the attending and rendering provider. Until this issue has been resolved, providers submitting Computer Media Claims (CMC) where the attending and rendering provider are the same provider, and the claim requires the rendering provider to be identified, will receive a Resubmission Turnaround Document (RTD) requesting the rendering provider information. As an alternative, providers may submit claims with the same attending and rendering provider on paper for correct adjudication.