|
Edit 00725
History Record not found for Adjustment or Void
HIPAA Claim Adjustment Reason Code: 16
Remark Code: M47
HIPAA Healthcare Claim Status Code: 35
Entity Identifier Code: N/A
Potential Causes:
The Transaction Control Number (TCN) the provider is using cannot be found as a paid TCN. The claim may have possibly been adjusted or voided in the past.
Solution:
Check the TCN to ensure accuracy. The history of the claim may have to be researched using your remittances to determine if the claim has been previously adjusted or voided. Enter the data in the loop and the segment provided, resubmit.
| 837 Dental, 837 Professional and 837 Institutional |
Loop 2300, REF (Original Reference Number (ICN/DCN))
REF01 = F8 (Reference Identification Qualifier)
REF02 = 16 digit Claim Reference Number of previously paid claim. (Reference Identification) |
|
