Why your claims are rejected, part 2
HIPAA Weekly Advisor, March 8, 2004
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Why your claims are rejected, part 2
A new Medicare program transmittal contains more reasons why claims processors might send your claim back (see HWA,
--admission date
--admitting diagnosis
--admission type code
--patient status code
--admission source code
In addition, transmittal 107, which modifies the HIPAA X12N 837 implementation guide, tells payers and processors to reject claims in the following circumstances:
--outpatient claims containing covered days
--claims containing a NPP000 UPIN
--claims containing an invalid E-code
Editor's note: To download transmittal 107, click here:
http://www.cms.hhs.gov/manuals/transmittals/comm_date_dsc.asp
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