Action Required: Stop Using Periods in Diagnosis Codes

Date: 11/12/24

Sunshine Health is warning providers about a change in the way they should enter diagnosis codes that could result in claims being automatically rejected.

Here’s a simple way that providers can avoid this error and ensure their codes are accepted:

Avoid using periods in diagnosis codes.

Here’s what that change looks like:

Sample

Old Diagnosis Code Entry	New Diagnosis Code Entry
123.456	123456

 

Please share this message with your staff to ensure your claims are not automatically rejected. All they have to remember is this:

Avoid using periods in diagnosis codes.

Questions

If you have any questions, please call Sunshine Health Provider Services at 1-844-477-8313 or visit the Secure Provider Portal. Our Provider Engagement staff can also answer questions. Visit the Find Your Account Manager tool to find who supports your specialty and region. Keep up with the latest Sunshine Health provider updates by reviewing and bookmarking Provider News.

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