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Edit / Error Knowledge Base > Select Edit Range > 00001 to 00100 >

 

Edit 00074

Recipient ID Number Invalid

HIPAA Claim Adjustment Reason Code: 31
     Remark Code: N/A
HIPAA Healthcare Claim Status Code: 153
     Entity Identifier Code: QC

Potential Causes:
The recipient number on the claim is not a good recipient number. The number reported
right format (2 Alpha, 5 Numeric and 1 Alpha) but the number it self is not on file.


Solution:
Please check your information and re-submit.

837 Institutional, 837 Professional, and 837 Dental
Loop 2010BA, NM1 (Subscriber Name)
NM108 = MI (Identification Code Qualifier)
NM109 = Recipient ID number (Identification Code)


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