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Edit 00835
Non-Covered Days Greater Than Billing Period
HIPAA Claim Adjustment Reason Code: 16
Remark Code: MA33
HIPAA Healthcare Claim Status Code: 457
Entity Identifier Code: N/A
Potential Causes:
The number of days entered as Medicaid Non-Covered days is more than the number of days in the billing period.
Solution:
Verify the dates entered as the From and Thru Dates of Service. Check the number of days entered as Medicaid Non-Covered days and ensure the numbers of days entered is correct. Enter the data in the loops and segments 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)
And
Loop 2300, QTY (Claim Quantity)
QTY01 = CA (Medicaid Covered Actual) or NA (Medicaid Non-Covered) or
QTY02 = Days Count (Quantity) |
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