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HIPAA Edit Enforcement for Diagnosis Codes

Date: 10/21/24

We would like to inform you that in Q4 2024, EDI will enable the HIPAA edit related to diagnosis codes. Currently, this edit is relaxed to accept claims with a decimal point in the diagnosis code. However, with the upcoming change, claims containing a decimal point in the diagnosis code will be rejected.

‌This adjustment aims to ensure compliance with HIPAA standards and improve the accuracy of our claims processing



Last Updated: 10/21/2024