What will happen to a claim that does not contain the required zip code information?
Each payer may handle 5010 claims differently. Some may accept a 5-digit ZIP code or a 5-digit ZIP code plus a 4-digit numeric placeholder such as 9998. Gateway EDI has been advised by many payers that claims will be denied, returned as un-processable and even deleted from the payer’s systems if a valid 9-digit ZIP code is not present on the claim.