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Edit 01005
Thru Service Date after Receipt Date
HIPAA Claim Adjustment Reason Code: 110
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 187
Entity Identifier Code: N/A
Potential Causes:
The billing date on the claim is before the Thru Date of Service (End Date of Service) on the claim. When billing with a From and Thru date range, the Billing Date must be the same or after the Thru Date of Service. A claim cannot be billed before the service is rendered.
Solution:
Check the Date Range entered to ensure the correct From and Thru Dates of Service were reported. Check the Billing Date and ensure the Billing Date entered is the same or after the End Date of Service. Enter the data in the loop and the segment provided, and resubmit.
| 837 Institutional |
Billing Date:
Segment BHT (Beginning of Hierarchical Transaction)
BHT04 = A Date in the format of CCYYMMDD (Date)
And
From and Thru Dates of Service:
Loop 2300, DTP (Statement Dates)
DTP01 = 434 (Date/Time Qualifier)
DTP02 = RD8 (Date Time Period Qualifier)
DTP03 = Format CCYYMMDD-CCYYMMDD (Date Time Period)
And
Loop 2400, DTP (Service Line Date)
DTP01 = 472 (Date/Time Qualifier)
DTP02 = RD8 (Range of Dates Expressed in Format CCYYMMDD – CCYYMMDD)
DTP03 = Range of Dates |
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