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Edit / Error Knowledge Base > Select Edit Range >


Edits

Edit Range Edits
01301 to 01400
01301 - PORTABLE XRAY CLAIM SUBMITTED WITH DOS AFTER CUTOFF DATE
01302 - RECIPIENT MUST RESIDE IN RESIDENTIAL HEALTH CARE FACILITY/INTERMEDIARY CARE FACILITY FOR DEVELOPMENTALLY DISABLE TO RECEIVE PORTABLE X-RAY SERVICES
01303 - PORTABLE X-RAY PROCEDURE CODE/MEDICARE APPROVED AMOUNT > 0 OR QMB RECIPIENT
01304 - PROVIDER NOT ALLOWED TO BILL FOR PORTABLE XRAY SERVICES
01305 - RECIPIENT NOT ELIGIBLE FOR TRANSPLANT PROCEDURE CODE
01306 - INVALID RATE CODE FOR HEMODIALYSIS CROSSOVER
01309 - INVALID QUADRANT FOR BILLED PROCEDURE
01310 - REQUIRED ARCH CODE / MISSING INVALID
01311 - IMPROPER TOOTH/SEALANT CODE COMBINATION
01314 - RECIPIENT INELIGIBLE (COVERAGE CODE IS EQUAL TO 18 (FAMILY PLANNING))
01315 - FQHC RATE,RECIPIENT NOT ENROLLED IN MANAGED CARE PLAN
01316 - PHARMACY SERVICE INCLUDED IN FACILITY RATE
01318 - INAPPROPRIATE DATE OF BIRTH FOR NEWBORN
01319 - RECIPIENT EXCEPTION INVALID FOR HOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM
01327 - IN-STATE SERVICING PROVIDER LICENSE NUMBER NOT NUMERIC
01328 - NURSE UNITS EXCEED 24 HOURS
01329 - SICKROOM SUPPLY INCLUDED IN FACILITY RATE
01330 - RECIPIENT AGE LT 21, BILLED MLTC RATE CODE INVALID
01331 - RECIPIENT AGE LT 55, BILLED MLTC RATE CODE INVALID
01332 - RECIPIENT AGE NOT 21-64, BILLED MLTC RATE CODE INVALID
01333 - RECIPIENT AGE LT 65, BILLED MLTC RATE CODE INVALID
01334 - RECIPIENT HAS NO MEDICARE ON FILE, BILLED MLTC RATE CODE INVALID
01335 - RECIPIENT HAS MEDICARE ON FILE, BILLED MLTC RATE CODE INVALID
01337 - INFORMATION INCONSISTENT FOR FHP PROGRAM
01338 - RECIPIENT NOT ON RESTRICTED RECIPIENT FILE
01339 - RECIPIENT NOT AUTHORIZED FOR CMCM/MSC/IRA ON SERVICE DATE
01340 - CLAIM PROVIDER NOT EQUAL RESTRICTION RECIPIENT FILE PROVIDER
01341 - RATE CODE INAPPROPRIATE FOR RECIPIENT AID CATEGORY
01342 - P.T.CLINIC RATE BILLED/PROVIDER P.T. CLINIC NUMBER MISSING
01343 - PROVIDER P.T. CLINIC/P.T. CLINIC RATE NOT BILLED
01344 - PROCEDURE CODE MODIFIER MISSING
01345 - ORIGINAL DUPLICATE CLAIM IN HISTORY
01350 - MEDICAID COVERAGE CODE = 19-RECIPIENT INELIGIBLE FOR THIS SERVICE
01351 - MEDICAID COVERAGE CODE = 24-RECIPIENT INELIGIBLE FOR THIS SERVICE
01352 - MEDICAID COVERAGE CODE = 21-RECIPIENT INELIGIBLE FOR THIS SERVICE
01353 - MEDICAID COVERAGE CODE = 22-RECIPIENT INELIGIBLE FOR THIS SERVICE
01354 - MEDICAID COVERAGE CODE = 23-RECIPIENT INELIGIBLE FOR THIS SERVICE
01357 - PROVIDER ID AND SERVICE ID IDENTICAL

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