Edit 00050

Prior Approval Number Non-Numeric

HIPAA Claim Adjustment Reason Code: 15
     Remark Code: N/A
HIPAA Healthcare Claim Status Code: 252
     Entity Identifier Code: N/A

Potential Causes:
The Prior Approval Number must be 8 digits or 11 digits. The Prior Approval Number entered on the claim was not 8 or 11 digits in length, or it was not numeric.

Solution:
Enter your 8 or 11 digit Prior Approval Number in the following loop and segments and resubmit.

837 Institutional and Dental

Loop 2300, REF (Prior Authorization or Referral Number) REF01 = G1 (Prior Authorization Number) REF02 = Prior Authorization Number Or Loop 2400, REF (Prior Authorization or Referral Number) REF01 = G1 (Prior Authorization Number) REF02 = Prior Authorization Number

837 Professional

Loop 2300, REF (Prior Authorization or Referral Number) REF01 = G1 (Prior Authorization Number) REF02 = Prior Authorization Number