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Edit 00561
NDC Code not on File
HIPAA Claim Adjustment Reason Code: 16
Remark Code: M119
HIPAA Healthcare Claim Status Code: 220
Entity Identifier Code: N/A
Potential Causes:
The National Drug Code (NDC) code entered on the claim is not on file as a valid code.
Solution:
Please enter a valid NDC code on the claim and resubmit.
| 837 Professional and 837 Institutional |
Loop 2410, LIN (Drug Identification)
LIN02 = N4 (Qualifier for National Drug Code in 5-4-2 format)
LIN03 = NDC Number
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