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Edit 00834
Recipient Ineligible for Portion of Service Period
HIPAA Claim Adjustment Reason Code: 141
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 88
Entity Identifier Code: QC
Potential Causes:
The recipient is not showing as eligible for all the days in the Statement Coverage Period.
Solution:
Check the eligibility of the patient for the time period billed. Ensure the time period on the claim is
correct. Enter the data in the loop and the segment provided, and resubmit.
| 837 Institutional |
Loop 2300, DTP (Statement Dates)
DTP01 = 434 (Date/Time Qualifier)
DTP02 = D8 or RD8 (Date Time Period Qualifier)
DTP03 = Format CCYYMMDD or CCYYMMDD-CCYYMMDD (Date Time Period) |
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