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Edit 01035
Status Discharged Destination Provider Blank
HIPAA Claim Adjustment Reason Code: 16
Remark Code: N50
HIPAA Healthcare Claim Status Code: 153
Entity Identifier Code: TT
Potential Causes:
The Patient Status Code is showing a discharge or transfer and the Referring/Destination Provider Field is blank.
Solution:
If the patient is discharged or transferred they must enter the Provider Number of the facility the patient went to or the License Number of the doctor that allowed the discharge. Please check your information.
| 837 Institutional |
Loop 2310C NM1 (Other Provider Name)
NM101 = 73 (Other Physician)
NM108 = 24 (Employer’s Identification Number)
Or
NM108 = 34 (Social Security Number)
NM109 = (Employer’s Identification Number or Social Security Number)
And
Loop 2310C, REF (Other Provider Secondary Identification)
REF01 = 0B (to indicate State License Number preceded by License type)
Or
REF01 = 1D (to indicate Medicaid Provider ID)
REF02 = Other Provider Secondary Identifier
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