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Edit / Error Knowledge Base > Select Edit Range > 02101 to 03000 >

Edit 02105

Provider is not valid for Bariatric Surgery for Obesity

HIPAA Claim Adjustment Reason Code: 185
            Remark Code: N287
HIPAA Healthcare Claim Status Code: 25
            Entity Identifier Code: 85

Potential Causes:
This edit applies to Inpatient DRG claims for New York City hospitals only. The Billing Provider must be a Bariatric Surgery Center for the claim to be paid.

Solution:
The claim is not payable. Do not resubmit.

 

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