We are struggling with creating a process that will be compliant with the 837 X12 
standards and still allow us to take in newborn claims without denying them back to 
providers on the initial submission.  Our current process is that our providers are 
educated to submit with a "dummy" newborn member number (if a unique number is 
unknown) that will allow the claim into our core system to pend.  A process then takes 
place to assign or locate the correct / unique member number which is then modified on 
the claim and remits back to the provider.  We have found this process more efficient 
and accurate for several reasons related to our Medicaid line of business, but 
primarily because the newborns may not yet have a unique ID of their own and this 
allows us to process the claims in one submission versus a denial and reprocess.

Our concern is that if we continue this practice going forward we will not be 
compliant because providers will submit with a "dummy" member number and we will remit 
back with the correct ID which is assigned after we receive the claim.  If we leave 
the claims on our system with a "dummy" member number, it will be difficult for 
servicing to locate claims for specific member numbers and edit for duplicate 
submissions. 

Is anyone else struggling with the handling of newborn claims?  Any suggestions on a 
compliant process that will also be efficient?  

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