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ET5 - Virtual Care Program SLI Code Missing

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Background:

The “ET5” error code will be issued and the entire claim will be returned to the physician’s/dentist’s error report if a Virtual Care Program B-code is billed but the Service Location Indicator code is not present on the claim.

Solution:

If the claim is for video visit then the claim should be resubmitted with an applicable Virtual Care Program B-code or SLI code set to “OTN”. If the claim is not for a video visit, then the claim should be resubmitted
without the “OTN” SLI code or a Virtual Care Program B-code.

For the instruction on how to add SLI in the claim, see How to Select The Service Location Indicator (SLI)

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