What Claims Require a Paper HCFA 1500 Form?
• Secondary Claims require a copy of the EOB from the primary payor, and therefore can not be submitted electronically in most cases. You will need to print out the claim and staple a copy of the EOB to it. • Charges posted to non-“Real” providers. This generally includes the “Office” provider and Nurse Practitioners. Speak with PCC Support for help configuring which providers are valid for electronic submission. You should inform PCC Support whenever you add a new provider so they can be configured properly for claim submission. • Claims containing “E” diagnosis codes. These codes indicate an emergency visit. Since they generally require additional paperwork, they are automatically sent to a paper batch.
