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Edit / Error Knowledge Base > Select Edit Range > 00701 to 00800 >

 

 

Edit 00715

Procedure conflicts with previous service

HIPAA Claim Adjustment Reason Code: 18
    Remark Code: N/A
HIPAA Healthcare Claim Status Code: 54
   Entity Identifier Code: N/A

Potential Causes:
Duplicate of a previously approved claim or line.


Solution:
Please verify that this is not a duplicate claim submission. Duplicate edit errors occur as a result of a combination of data elements: Recipient ID, Provider ID, Date(s) of Service, or Procedure Code.




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