Overview

Members can indicate the Carrier Code for each Primary insurance included on electronic and paper claims when Medicaid is billed as the secondary payer.  To reduce claim rejections, the automated claim validation process will prevent submitting claims to Medicaid if a Carrier Code isn’t selected. Additionally, the Carrier Codes will be added to the CMS-1500 claims without needing to be manually entered.

States that Require a Carrier Code

• Arkansas
• Connecticut
• Illinois
• Louisiana
• Massachusetts
• New Hampshire
• Pennsylvania
• Rhode Island
• South Carolina
• Vermont

Please refer to the links above to determine which Carrier Codes should be entered for your primary insurances.

Add a Carrier Code

1. Navigate to the Billing menu, then select Insurance List.

2. Select the Info & Settings link on the Primary insurance.

3. On the General tab, enter the Carrier Code.

Fix a Carrier Code Error

If the claim does not pass the Carrier Code validation check, the following error will display:

1. Click on the edit pencil icon to open the primary insurance settings.
2. Enter the Carrier Code into the appropriate field.
3. Click Save Changes.
4. Close the window.