Edit 02063


Transportation Service Paid during this Inpatient Admission Period

HIPAA Claim Adjustment Reason Code: A1
    Remark Code: M80
HIPAA Healthcare Claim Status Code: 54
    Entity Identifier Code: N/A

Potential Causes:
NYS history files indicate that a paid transportation service claim exists for this client for a Date of Service that is within the date range of the submitted inpatient DRG claim.

Solution:
Check to ensure that the Admit Date, Discharge Date, Rate Code and the Client ID submitted on your claim are correct. This edit is a pay edit and therefore, if all the information submitted is correct, the edit failure is the responsibility of NYS Medicaid to resolve. No further action is required by the provider.