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Edit 00094
Number of Units Not Greater Than Zero
HIPAA Claim Adjustment Reason Code: 16
Remark Code: M53
HIPAA Healthcare Claim Status Code: 476
Entity Identifier Code: N/A
Potential Causes:
Zeros were entered as the number of units on the claim.
Solution:
Change the number of units entered to reflect the proper number of units being billed - (one unit or higher). Enter the data in the loop and the segment provided, and resubmit.
| 837 Institutional |
Loop 2400, SV2 (Institutional Service Line)
SV204 = Days or Units (Unit or Basis for Measurement Code)
SV205 = Quantity (Quantity) |
| 837 Professional |
Loop 2400, SV1 (Professional Service)
SV104 = Enter the service unit count (Quantity) |
| 837 Dental |
Loop 2400, SV3 (Dental Service)
SV306 = The number of times the procedure was performed (Quantity) |
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