LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

2011-01 Effective for Claims with Home for place of service

KYDEX-PRO

STRONGER SAFER

LEEDerGROUP.com

Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home

Effective for claims processed on or after January 1, 2011, claims submitted on the CMS-1500 claim form with place of service ‘home’ (12) must include the address and 5-digit ZIP code (or the 9-digit code when
required) of the location where the service was provided. Claims that are submitted without the required information will be ‘returned as unprocessable’ and must be corrected and resubmitted as new claims. These instructions do not apply to electronic claims submitted to Palmetto GBA in the ANSI 4010A1 format.