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Edit / Error Knowledge Base
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Edits
00601 to 00700
00602 - ADMISSION HOUR INVALID
00603 - ADMISSION TYPE CODE INVALID
00604 - ADMITTING DIAGNOSIS CODE MISSING
00605 - CLAIM PREVIOUSLY PAID USING ANOTHER PROVIDER NUMBER
00610 - PRINCIPLE DIAGNOSIS CODE MISSING
00613 - PRINCIPLE PROCEDURE DATE INVALID
00625 - DISCHARGE DATE ILLOGICAL
00626 - DISCHARGE HOUR INVALID
00627 - DISCHARGE STATUS INVALID
00652 - DISCHARGE DATE PRIOR TO ADMISSION DATE
00653 - STATEMENT FROM DATE PRIOR TO ADMISSION DATE
00655 - DISCHARGE DATE IS DIFFERENT FROM STATEMENT THRU DATE
00657 - STAY DENY EFFECTIVE DATE NOT PRIOR TO STATEMENT THROUGH DATE
00658 - STATMENT THRU DATE IS MORE THAN 90 DAYS OF DATE RECEIVED
00660 - STAY DENIED EFFECTIVE DATE PRIOR TO ADMISSION DATE
00663 - ADMIT NUMBER MISSING
00664 - ATTENDING PHYSICIAN LICENSE NUMBER MISSING
00672 - FAMILY PLANNING INDICATOR INVALID FOR BILLING PROVIDER
00674 - INVALID ADJUST CODE FOR STATE TSN
00677 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHARMACY
00678 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHARMACY/ATTACHMENT
00679 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHYSICIAN
00680 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY PHYSICIAN/ATTACHMENT
00683 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY CLINIC
00684 - RESTRICTED RECIPIENT SERVICE NOT PROVIDED/ORDERED/REFERRED BY PRIMARY CLINIC/ATTACH
00689 - RECIPIENT NO LONGER PREPAID CAPITATION PLAN ENROLLEE
00690 - ANESTHESIA UNITS GREATER THAN MAX
00691 - RECIPIENT COVERAGE CODE INVALID FOR CAPITATION CLAIMS
00692 - DATE OF SERVICE MUST BE 1ST OF MONTH
00693 - RECIPIENT NOT ON PCP FILE
00694 - DATE OF SERVICE PRIOR TO PCP BEGIN DATE
00695 - NON-PAY RECIPIENT BILLED
00696 - PROVIDER ON CLAIM NOT RECIPIENT PREPAID CAPITATION PROVIDER
00697 - PCP GUARANTEED COVERAGE PERIOD EXPIRED
00699 - RECIPIENT COVERAGE INDICATES CAPITATION CLAIMS AND PREPAID CAPITATION PLAN REFER SERVICE ONLY
00700 - PA UNITS OR PAYMENT AMOUNT EXCEEDED
New York State Department of Health
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