1. Click the “EPSDT” check box in Charge Entry/Charge Master screens.

2. On the Claim Note, specify the Condition Indicators. The format should be:

EPSDT:<condition indicator code>


Table 1 displays the valid Condition Indicators

Condition Indicator Code  Description
AV Available
NU Not Used (In this case, EPSDT indicator will be sent as ‘N’ )
S2 Under Treatment
ST New Services Requested