Edit 02006

Procedure Manual Review Code 6 Requires Manual Pricing – Includes DME Equipment Service C & E

HIPAA Claim Adjustment Reason Code: 133
    Remark Code: N/A
HIPAA Healthcare Claim Status Code: 178
    Entity Identifier Code: N/A

Potential Causes:
The procedure code indicated on the claim must be submitted on a paper claim form, as it requires review by the Department of Health before payment can be made.

Solution:
Please check your information and resubmit using a paper claim form.