Appendix P 07/22/16 Tamara PIHP CSoC Batch Added the TPL File Layout to Manuel Electronic File Layout Magellan with the the following: for TPL Information 05 CODE PIC x(02). Tamara Table of Title Page & Footer of Corrected Month of the Footer 08/02/16 Manuel Contents Document Information to August 2016 Version 6. Tamara Appendix I LTC CSoC PIHP Updated PART 2: SUBMISSION 08/03/16 Manuel SEGMENT LAYOUT EDIT PROCESS to include the new Error Code 060 ME CSOC Overlap and description. Tamara Appendix E Encounter Edit Codes Added the following code to the 08/11/16 Manuel Table: “Non-Repairable Denials” 349 Recipient not covered for – this service. Tamara Appendix O Inbound Files to Molina Removed the 09/19/16 Manuel file Monthly.txt” information. 11/02/16 Tamara Table of Title Page & Footer of Corrected Month of the Footer Manuel Contents Document Information to November 2016 Version 7 Tamara Table of Title Page & Footer of Corrected Month of the Footer 02/16/17 Manuel Contents Document Information to February 2017 Version 8 Tamara Appendix S Third Party Liability Added the TPL Batch Full 02/16/17 Manuel (TPL) Batch Full Reconciliation File Layout Reconciliation File Layout Tamara Table of Reformatted Document Reformatted entire document for 02/20/17 Manuel Contents automatic processing several headings and page numbering. Tamara Appendix P PIHP CSoC Batch Removed the TPL File Layout to 11/07/17 Manuel Electronic File Layout Magellan with the following: 05 for TPL Information CODE PIC x(02), etc. Tamara Appendix T Third Party Liability Added the MBI Field to the TPL 11/07/17 Manuel (TPL) File Layout to File Layout Incremental & – Magellan Reconciliation Appendix T 11/08/17 Tamara Third Party Liability Added the Tables for the 2 Manuel (TPL) File Layout to character predetermined Magellan (assigned) field that denotes the initiator of the private insurance segments to Appendix T.
Tamara Manuel Appendix P PIHP CSoC Batch Electronic File Layout for TPL Information Added the TPL File Layout to Magellan with the the following: 05 PIC x(02). 07/22/16 Tamara Manuel Table of Contents Title Page & Footer of Document Corrected Month of the Footer Information to August 2016 Version 6. 08/02/16 Tamara Manuel Appendix I LTC CSoC PIHP SEGMENT LAYOUT Updated PART 2: SUBMISSION EDIT PROCESS to include the new Error Code 060 ME CSOC Overlap and description. 08/03/16 Tamara Manuel Appendix E Encounter Edit Codes Added the following code to the “Non-Repairable Denials” Table: 349 – Recipient not covered for this service. 08/11/16 Tamara Manuel Appendix O Inbound Files to Molina Removed the Monthly.txt” file information. 09/19/16 Tamara Manuel Table of Contents Title Page & Footer of Document Corrected Month of the Footer Information to November 2016 Version 7 11/02/16 Tamara Manuel Table of Contents Title Page & Footer of Document Corrected Month of the Footer Information to February 2017 Version 8 02/16/17 Tamara Manuel Appendix S Third Party Liability (TPL) Batch Full Reconciliation File Layout Added the TPL Batch Full Reconciliation File Layout 02/16/17 Tamara Manuel Table of Contents Reformatted Document Reformatted entire document for automatic processing several headings and page numbering. 02/20/17 Tamara Manuel Appendix P PIHP CSoC Batch Electronic File Layout for TPL Information Removed the TPL File Layout to Magellan with the following: 05 PIC x(02), etc. 11/07/17 Tamara Manuel Appendix T Third Party Liability (TPL) File Layout to Magellan Added the MBI Field to the TPL File Layout – Incremental & Reconciliation 11/07/17 Tamara Manuel Appendix T Third Party Liability (TPL) File Layout to Magellan Added the Tables for the 2 character predetermined (assigned) field that denotes the initiator of the private insurance segments to Appendix T. 11/08/17 CODE CODE
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx