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| created at |
2017-12-21 11:07:16 UTC |
| updated at |
2017-12-21 12:22:32 UTC |
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2 layers
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143,100 entries
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There is 0 pattern entry.
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ANSI ASC X12 Health Care Provider Taxonomy, Level 1 - Type
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CONC:HL7V2.5 |
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ANSI ASC X12 Health Care Provider Taxonomy, Level 2 - Classification
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CONC:HL7V2.5 |
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No edits present on claim
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CONC:HL7V2.5 |
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Only edits present are for line item denial or rejection
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CONC:HL7V2.5 |
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Multiple-day claim with one or more days denied or rejected
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CONC:HL7V2.5 |
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Claim denied, rejected, suspended or returned to provider with only post payment edits
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CONC:HL7V2.5 |
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Claim denied, rejected, suspended or returned to provider with only pre payment edits
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CONC:HL7V2.5 |
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Invalid diagnosis code
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CONC:HL7V2.5 |
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Non-covered service submitted for verification of denial (condition code 21 from header information on claim)
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CONC:HL7V2.5 |
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Non-covered service submitted for FI review (condition code 20 from header information on claim)
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CONC:HL7V2.5 |
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Questionable covered service
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CONC:HL7V2.5 |
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Additional payment for service not provided by Medicare
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CONC:HL7V2.5 |
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Code indicates a site of service not included in OPPS
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CONC:HL7V2.5 |
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Service unit out of range for procedure
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CONC:HL7V2.5 |
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Multiple bilateral procedures without modifier 50 (see Appendix A)
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CONC:HL7V2.5 |
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