Starting July 1 Claims Submitted with Group ID “TXVDP” Will Reject

On July 1, 2012, pharmacies will be required to submit the appropriate program-specific Group ID on all B1, B2, and E1 transactions.  For a fee-for-service (FFS) claim, the accepted values in the “Group ID” field (Field 3Ø1-C1) are “MEDICAID”, “CHIP”, “KHC”, or “CSHCN”.  If an improper Group ID is submitted for a FFS claim, the claim will reject with error code “Ø6” (M/I Group Number). 

 

Please contact your software provider regarding the preparedness of your system.