Home | Glossary | Site Map

Search 
What's New Information Provider Manuals Self Help Training Contacts HIPAA
 
What's New
Information
Provider Manuals
Self Help
Training
Contacts
NYHIPAADESK
eMedNY Overview
NPI
Archived Items
Edit/Error Knowledgebase
Crosswalks
eMedNY Companion Guides and Sample Files

FAQ's
NEWS
DOH
CSC / eMedNY
Provider Training Material
Registration Information Trading Partner Resources
Useful External Links
Vendor Information
Issues Form
NYS Medicaid eMedNY Compliant Transactions

ePACES General Information and Enrollment
NYS Medicaid: POS Device
eMedNY Quick Reference
Other New York State Department of Health HIPAA Related Websites
Edit / Error Knowledge Base > Select Edit Range > 00101 to 00200 >

 

Edit 00180

Units Greater Than Maximum

HIPAA Claim Adjustment Reason Code: 151
            Remark Code: M53
HIPAA Healthcare Claim Status Code: 476
            Entity Identifier Code: N/A

Potential Causes:
The number of units indicated on the claim is more than the number of units allowed by the Department of Health.

Solution:
Please check your information in the loop and segments provided and re-submit

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)

New York State Department of Health Home | Glossary | Site Map
webmaster@emedny.org | Privacy Policy