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Edit / Error Knowledge Base > Select Edit Range > 00601 to 00700 >

 

Edit 00627

Discharge Status Invalid

HIPAA Claim Adjustment Reason Code: 16
    Remark Code: N50
HIPAA Healthcare Claim Status Code: N/A
    Entity Identifier Code: N/A

Potential Causes:
The Patient Status Code entered is an invalid code or was left off the claim.


Solution:
Verify that the Patient Status Code (Discharge Status) entered is a valid code. (Please be advised that valid Patient Status Codes are located in the 837 Supplemental Guide. This guide can be found at (www.nyhipaadesk.com). Enter the data in the loop and the segment provided, and resubmit.



837 Institutional
Loop 2300, CL1 (Institutional Claim Code)
CL103 = a valid patient status code (Patient Status Code)


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