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Change Healthcare will run each claim through their normal set of edits to check for missing/invalid information based on ANSI (American National Standards Institute) guidelines. They will also take payer requested edits into consideration; like SmartEdits. After the claim get sent through this series of edits, the claim can then go through CCI/MNC edits before being sent on to the payer. If a claim does not pass these coding edits the claim will reject because of some deeper level coding issue. If the office has purchased the Change Healthcare Portal option they will be able to view the reason for rejection. Often times there will be a small bit of information regarding the error and how to go about correcting it. If an office does not have the Portal option, they can contact MacPractice Support for further information.

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Note: If enabled, the CCI/MNCĀ edits can be turned off for a particular payer. To do this please contact MacPractice EDI Support for more information.