Edit 01608

Error Overflow

HIPAA Claim Adjustment Reason Code: 16
            Remark Code: MA130
HIPAA Healthcare Claim Status Code: 585
            Entity Identifier Code: N/A

Potential Causes:
The claim that you submitted triggered this overflow edit, because you submitted 20 or more lines and all 20 (or more) of the lines failed other edits that are set to pend, deny and/or pay. Once the 20 line limit is reached, edit 01608 is triggered for the document (claim) and replaces the other edits that have failed.

Solution:
Check the procedure code submitted to ensure that it is correct. If necessary, correct the procedure code and resubmit the claim using the loops and segments provided below.

If the claim submitted is a Professional claim, you can avoid triggering this edit by submitting claims with less than 20 lines to ensure that if all the lines fail a given edit, then you will not also fail edit 01608.

(NOTE: The pay edit setting is used internally to help determine how many claims would actually be denied if this edit was changed to a deny status rather than a pay status.)