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Edit 00240
Over Two Year Old Claim Held for Future Adjudication
HIPAA Claim Adjustment Reason Code: 133
Remark Code: N182
HIPAA Healthcare Claim Status Code: 38
Entity Identifier Code: N/A
Potential Causes:
The date of service on the claim was over two years old at the time the claim was received.
Solution:
Enter the data in the loop and the segment provided, and resubmit.
Please note: When adjusting or voiding a claim that is over 2 years old, the claim may be temporarily pended by this edit. This happens so that the history data can be retrieved over the weekend in order to process the adjustment or void.
| 837 Institutional |
Loop 2300, DTP (Statement Dates)
DTP01 = 434 (Date/Time Qualifier)
DTP02 = D8 or RD8 (Date Time Period Qualifier)
DTP03 = Format CCYYMMDD or CCYYMMDD-CCYYMMDD (Date Time Period)
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| 837 Professional |
Loop 2400, DTP (Date – Service Date)
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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| 837 Dental |
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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