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Edit 01168
Service was previously paid at 100%
HIPAA Claim Adjustment Reason Code: B13
Remark Code: N/A
HIPAA Healthcare Claim Status Code: 54
Entity Identifier Code: N/A
Potential Causes:
The Radiology Procedure that was billed with a Modifier is on file as already paid at 100% without a modifier to the Facility or the Physicians office.
Solution:
Research the claim to determine whom already billed the claim and contact that provider to correct the claim.
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