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Edit 00705
Service Paid Current or Previously Conflicting Claim
HIPAA Claim Adjustment Reason Code: 18
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 54
Entity Identifier Code: N/A
Potential Causes:
There is a claim in the paid history file for this patient and this provider for this date of service. The claim was previously paid to the provider who was denied for this reason.
Solution:
Please review the current and past remittance statements. Even if a claim was paid at a zero dollar amount, it is still considered paid in our history files and a replacement (adjustment) may be necessary to correct your payment.
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