PACE

Provider Bulletin

June 22, 2007

 

BIN and PCN EDITS

 

In preparation for the NPI implementation on May 23, 2007, Providers were also advised to verify that the BIN (Field 101-A1) being used to submit claims to PACE/PACENET, CRDP, CF, SB, MSUD, PKU, SPBP, PAP or SWIF was BIN 002286.

 

Additionally, providers were informed that claims submitted to PACE, CRDP, SPBP1 and SPBP2 were to have the Processor Control Number (PCN) (Field 104-A4) changed to ØØØØ1Ø2286 from ØØØØØØ2286.

 

Claims submitted to CF, SB, MSUD, PKU, PAP or SWIF were to use Processor Control Number (PCN) of ØØØØ6822Ø1.

 

On May 23, 2007 PACE began denying claims submitted without the NPI.

 

Because the NPI modification was a major change, it was decided to accept claims submitted with incorrect BIN and/or PCN’s. Instead of denying for incorrect BIN’s or PCN’s, these claims processed and will appear on R/A’s with explanatory messages.

 

Reports show that the majority of the chains are submitting correct BIN and PCN data, but approximately 50% of the independent providers submit invalid data in one or both of these fields.

 

Providers submitting incorrect data will see the following message codes appear on their Remittance Advices.

 

Message Code 709 -- MISSING/INVALID BIN NUMBER

Message Code 752-- MISSING/INVALID PROCESSOR CONTROL NUMBER

 

In the near future, the Program will be announcing that these explanatory message codes will be changed to deny reasons. You are urged to review your R/A’s to ensure that you are submitting the correct BIN and PCN’s. 

                                               

PLEASE contact your software vendor if you are unable or unsure how to correct these errors.

 

Questions may be directed to Provider Services at

1-800-835-4080.