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Edit 00141
Group Provider Ineligible On Date of Service / Provider ID Is Active During The Enrollment Period
HIPAA Claim Adjustment Reason Code: B7
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 91
Entity Identifier Code: QV
Potential Causes:
The Group Provider ID entered is not a valid ID for the date of service on the claim.
Solution:
Please check the Group ID number entered and the Date of Service.
| 837 Professional and 837 Dental |
Loop 2010AB, REF (Billing Provider Secondary Identification Number)
REF01 = 1D
REF02 = Medicaid Group ID Number
And
Line Level
Loop 2400, DTP (Date-Service)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Time Period Format Qualifier)
DTP03 = Service Date in the format CCYYMMDD (Date Time Period)
Or
Claim Level (Dental Only)
Loop 2300, DTP (Date-Service)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = D8 (Date Time Period Format Qualifier)
DTP03 = Service Date in the format CCYYMMDD (Date Time Period) |
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