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Edit 00026
Date of Birth Invalid
HIPAA Claim Adjustment Reason Code: 16
Remark Code: N329
HIPAA Healthcare Claim Status Code: 158
Entity Identifier Code: QC
Potential Causes:
The Date of Birth is blank or does not contain all the required 8 digits. The Date of Birth may have been submitted using 6 digits rather than the required 8 digits.
Solution:
Check the Date of Birth to ensure the full 8 digits are being reported. If necessary, verify the date of birth of the recipient using MEVS and enter the correct date on the claim. Enter the data in the loop and the segment provided, and resubmit.
| 837 Institutional, 837 Professional and 837 Dental |
Loop 2010BA, DMG (Subscriber Demographic Information)
DMG01 = D8 (Date Time Period Format Qualifier)
DMG02 = Recipient Date of Birth (Date Time Period)
DMG03 = Gender of recipient (F = female, M = male) (Gender Code)
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