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Edit / Error Knowledge Base > Select Edit Range >


Edits

Edit Range Edits
01001 to 01100
01002 - RECIPIENT COVERED BY MEDICARE PART-B; RE-BILL WITH PART-B RATE
01004 - THRU SERVICE DATE INVALID
01005 - THRU SERVICE DATE AFTER RECEIPT DATE
01006 - THRU SERVICE DATE PRIOR TO FROM SERVICE DATE
01007 - THRU SERVICE DATE GT 90 DAYS OF RECEIPT
01008 - REFERRING PROVIDER PROFESSION CODE INVALID
01009 - REFERRAL DATA INCONSISTENT
01011 - TOTAL DAYS NOT NUMERIC
01018 - THRU SERVICE DT GT 90 DAYS OF RECEIPT/REVIEW ATTACHMENT
01022 - THERAPEUTIC LEAVE DAYS NOT SEPARATE
01023 - HOSPITAL LEAVE DAYS NOT SEPARATE LINE
01027 - MEDICAID COVERAGE CODE 09 MEDICARE APPROVED AMOUNT MISSING
01028 - RATE CODE INVALID FOR CMCM/MSC CATEGORY OF SERVICE
01029 - REQUIRED PA FOR RATE CODE NOT FOUND
01034 - SPECIALTY CODE INVALID FOR LONG TERM HHC
01035 - STATUS DISCHARGED DESTINATION PROVIDER BLANK
01036 - STATUS SHOWS ADMISSION OR DISCHARGE/PRIM DIAG BLANK
01037 - MEDICAID (TITLE XIX) DAYS CONFLICT
01038 - TOTAL DAYS ON CLAIM GREATER THAN BILLING PERIOD
01039 - MEDICAID (TITLE XIX) DAYS TOTAL INCORRECT
01040 - MEDICARE CO-INSURANCE DAYS INCORRECT
01041 - ERROR IN NON-COVERED DAYS
01042 - SUBMITTED UNITS NOT CONSISTENT WITH DATES OF SERVICE
01044 - DATES OF SERVICE CANNOT SPAN ACROSS MONTHS
01045 - BOX M=1/MEDICARE PYMT NOT BLANK
01046 - SUBMITTED UNITS NOT EVENLY DIVISIBLE ACROSS DATES OF SERVICE
01047 - DATE OF SERVICE SIX YEARS PRIOR TO DATE RECEIVED
01066 - BOX M=3/MEDICARE PYMT NOT ZERO
01067 - BED RETENTION DAYS OVER LIMIT FOR PATIENT STATUS
01068 - MEDICARE PAYMENT SOURCE CODE BOX M/BLANK
01069 - MEDICARE PAYMENT SOURCE CODE BOX M/NOT 1,2 OR 3
01070 - OTHR INSURANCE PAYMENT SOURCE CODE BOX O/BLANK
01071 - OTHR INSURANCE PAYMENT SOURCE CODE BOX O/NOT 1,2 OR 3
01073 - PROCEDURE CODE FOR BLOCK BILL INVALID
01077 - CATEGORY OF SERVICE DOES NOT ALLOW EMERGENCY
01079 - CATEGORY OF SERVICE REQUIRES MEDICARE
01083 - BOX O=1/OTHER INSURANCE PAID AMOUNT NOT BLANK
01085 - BOX O=3/OTHER INSURANCE PAID AMOUNT ZERO
01087 - BOX M=2/MEDICARE APPROVE AMOUNT ZERO OR BLANK
01098 - RECIPIENT LESS THAN 21/PRESCRIBER NOT PHC
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