|
Edit 00036
Amount Charged is Missing or Invalid
HIPAA Claim Adjustment Reason Code: 16
Remark Code: M79
HIPAA Healthcare Claim Status Code: 178
Entity Identifier Code: N/A
Potential Causes:
The Amount Charged field is blank or contains all zeros.
Solution:
The Amount Charged must be entered and cannot be zeros. Check the entry and make the applicable correction.
Include loop/segment for Amount Charged
| 837 Institutional, 837 Professional, and 837 Dental (Claim Level) |
Loop 2300, CLM (Claim Information)
CLM02 = Amount Charged (Monetary Amount) |
| 837 Institutional (Line Level) |
Loop 2400, SV2 (Institutional Service Line)
SV203 = Amount Charged |
| 837 Professional (Line Level) |
Loop 2400, SV1 (Professional Service)
SV102 = Amount Charged |
| 837 Dental (Line Level) |
Loop 2400, SV3 (Dental Service)
SV302 = Amount Charged |
|
