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Edit 00653
Statement From Date Prior to Admission Date
HIPAA Claim Adjustment Reason Code: 16
Remark Code: M52
HIPAA Healthcare Claim Status Code: 187
Entity Identifier Code: N/A
Potential Causes:
The Date entered as the From Date of Service is prior to the Date entered as the Admission Date.
Solution:
Check the date entered as the Admission Date and the entry for the From Date of Service. Enter the data in the loop and the segment 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
Or
Loop 2300, DTP (Statement Dates)
DTP01 = 434 (Date/Time Qualifier)
DTP02 = RD8 (Date Time Period Qualifier)
DTP03 = Format CCYYMMDD-CCYYMMDD (Date Time Period)
And
Loop 2400, DTP (Service Line Date)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = RD8 (Range of Dates Expressed in Format CCYYMMDD – CCYYMMDD)
DTP03 = Range of Dates |
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