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Procentive

Add Value 24 Code to a Claim

  • August 13, 2025
  • 0 replies
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Ensora Education Team
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Overview

In order to bill for Direct Access clients through MN DHS or UCare (55413), a value code 24 is required. This article will show you what steps you need to take to ensure that this additional five-digit code travels on a claim.
 

Payers Module

A setting in any payer you will be billing Direct Access with the payer ID MNMAG or UCare (55413) will need this setting turned on.

MNMAG_Value_24_11-30-2020.png 

  1. Go to Payers Module > Payer Rules tab.
  2. Find the setting Add value 24 code to claims.
  3. Set this to Yes.
  4. Click Save

 

Codes Module

Each code can be set up with a Value 24 code.

Code_Value_24_11-30-2020.png  

  1. Go to the Codes Module.
  2. Double click on the code you want to add the Value 24 code to.
  3. Go to the Billing tab.
  4. In the Value 24 Code drop-down menu, select the applicable five-digit code.
  5. Click Save.

 

Where you will see this on a claim:

On the X12 Summary: 
  Value_24_X12_summary_12-1-2020.png 

On the X12 Detail:

Value_24_X12_detail_12-1-2020.png
 

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