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Edit / Error Knowledge Base > Select Edit Range > 01101 to 01200 >

 

 

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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