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

 

Edit 00753

Only Upstate Contractor Allowed to bill for Service

HIPAA Claim Adjustment Reason Code: 38
            Remark Code: N/A
HIPAA Healthcare Claim Status Code: 91
            Entity Identifier Code: 1P

Potential Causes:
An upstate optical dispenser is billing for the eyeglass materials, and they are not allowed to.

Solution:
The optical dispenser needs to contact Wallkill for glasses.


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