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Edit 00020
Service/Fill Date Later Than Receipt Date
HIPAA Claim Adjustment Reason Code: 110
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 187
Entity Identifier Code: N/A
Potential Causes:
The claim was received before the Date of Service on the claim.
Solution:
A claim cannot be received before the Date of Service billed. Check the Date of Service to ensure the correct Date was billed. Enter the data in the loop and the segments provided, and resubmit.
| 837 Institutional |
Loop 2300, DTP (Statement Dates)
DTP01 = 434 (Date/Time Qualifier)
DTP02 = D8 or RD8 (Date Time Period Qualifier)
DTP03 = Format CCYYMMDD or CCYYMMDD-CCYYMMDD (Date Time Period)
And
Loop 2400, DTP (Service Line Date)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Expressed in Format CCYYMMDD) or RD8 (Range of Dates Expressed in Format CCYYMMDD - CCYYMMDD)
DTP03 = Service Date or Range of Dates |
| 837 Professional |
Loop 2400, DTP (Date - Service Date)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Time Period Format Qualifier)
DTP03 = Service Date in the format CCYYMMDD (Date Time Period) |
| 837 Dental |
Loop 2300, DTP (Date - Service)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Time Period Format Qualifier)
DTP03 = Service Date in the format CCYYMMDD (Date Time Period)
And
Loop 2400, DTP (Date - Service)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Time Period Format Qualifier)
DTP03 = Service Date in the format CCYYMMDD (Date Time Period) |
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