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Claim Adjustment Reason Codes - Palmetto GBA

Claim Adjustment Reason Codes - Palmetto GBA

Claim Adjustment Reason Codes - Palmetto GBA

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<strong>Reason</strong><strong>Codes</strong>MA17MA18MA19MA20MA21MA22MA23DescriptionWe are the primary payer and have paid at the primary rate. You mustcontact the patient's other insurer to refund any excess it may have paiddue to its erroneous primary payment.Start: 01/01/1997Alert: The claim information is also being forwarded to the patient'ssupplemental insurer. Send any questions regarding supplementalbenefits to them.Start: 01/01/1997 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Alert: Information was not sent to the Medigap insurer due toincorrect/invalid information you submitted concerning that insurer.Please verify your information and submit your secondary claim directlyto that insurer.Start: 01/01/1997 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Skilled Nursing Facility (SNF) stay not covered when care is primarilyrelated to the use of an urethral catheter for convenience or the controlof incontinence.Start: 01/01/1997 | Last Modified: 06/30/2003Notes: (Modified 6/30/03)SSA records indicate mismatch with name and sex.Start: 01/01/1997Payment of less than $1.00 suppressed.Start: 01/01/1997Demand bill approved as result of medical review.Start: 01/01/199720

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