|
Edit 01077
Category Of Service Does Not Allow Emergency
HIPAA Claim Adjustment Reason Code: 170
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 250
Entity Identifier Code: N/A
Potential Causes:
The Procedure Code entered cannot be used for Emergency Services and the Emergency Indicator was entered on the claim.
Solution:
Verify that the correct Procedure Code was entered. Eliminate the Emergency Indicator entry. Enter the data in the loop and the segment provided, and resubmit.
| 837 Porfessional |
Loop 2400, SV1 (Professional Service)
SV101-1 = HC (Product/Service ID Qualifier)
SV101-2 = Procedure Code (Product/Service ID)
And
SV109 = Y (Yes/No Condition or Response Code) – Emergency Indicator |
|
