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Error Code 769 Updated for Telehealth Originating and Distant Site
Effective date
Oct 12, 2026
Identified
Oct 14, 2026
Summary
Nevada Medicaid is enforcing error code 769 to deny telehealth claims where a single provider bills as both the originating site and distant site for the same patient on the same date of service. This policy change became effective October 12, 2026, and claims will not be automatically reprocessed; providers must ensure compliance going forward.
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What to do
Action · 4 steps
01Already effective as of October 12, 2026: Billing team must verify that telehealth claim submissions do not bill a single provider as both originating and distant site for the same patient and date of service.
02Update billing workflows and system validation rules to prevent submission of non-compliant claims.
03Providers should review existing telehealth billing practices to confirm adherence to MSM Chapter 3400 policy.
04Claims denied under error code 769 will not be automatically reprocessed, so proactive compliance is critical to avoid claim denials and revenue loss.
Original notice
Error Code 769 Updated for Telehealth Originating and Distant Site
medicaid.nv.gov · Always check the source before changing claims.