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Edit / Error Knowledge Base > Select Edit Range > 00101 to 00200 >

 

Edit 00140

Recipient ID Number Not on File

HIPAA Claim Adjustment Reason Code: 31
     Remark Code: N/A
HIPAA Healthcare Claim Status Code: 109
     Entity Identifier Code: QC

Potential Causes:
The Recipient ID may be either new or incorrect.


Solution:
Verify that the Recipient ID is valid and resubmit using the loop and segment provided.

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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