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

 

Edit 00652

Discharge Date Prior To Admission Date

HIPAA Claim Adjustment Reason Code: 16
Remark Code: N50
HIPAA Healthcare Claim Status Code: 190
Entity Identifier Code: N/A

Potential Causes:
The Discharge Date entered on the claim is prior to the Admission Date entered on the claim. The Discharge cannot occur prior to the Admission.


Solution:
Check the Admission Date and the Discharge Date and correct the date that was entered incorrectly. Enter the data in the loop and the segments provided, and resubmit.



837 Institutional
Loop 2300, DTP (Admission Date/Hour)
DTP01 = 435 (Admission)
DTP02 = DT (Date and Time expressed in Format CCYYMMDDHHMM)
DTP03 = Admission Date and Hour
And
Loop 2300 HI (Occurrence Information)
HI01-1 = BH (Occurrence)
HI01-2 = 42 (Discharge Date)
HI01-3 = D8 (Discharge Date expressed in Format CCYYMMDD)
HI01-4 = Discharge Date


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