Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN71N72N74N75N76N77N78N79DescriptionYour unassigned claim for a drug or biological, clinical diagnosticlaboratory services or ambulance service was processed as anassigned claim. You are required by law to accept assignment for thesetypes of claims.Start: 01/01/2000 | Last Modified: 06/30/2003Notes: (Modified 2/21/02, 6/30/03)PPS (Prospective Payment System) code changed by medicalreviewers. Not supported by clinical records.Start: 01/01/2000 | Last Modified: 06/30/2003Notes: (Modified 6/30/03)Resubmit with multiple claims, each claim covering services provided inonly one calendar month.Start: 01/01/2000Missing/incomplete/invalid tooth surface information.Start: 01/01/2000 | Last Modified: 02/28/2003Notes: (Modified 2/28/03)Missing/incomplete/invalid number of riders.Start: 01/01/2000 | Last Modified: 02/28/2003Notes: (Modified 2/28/03)Missing/incomplete/invalid designated provider number.Start: 01/01/2000 | Last Modified: 02/28/2003Notes: (Modified 2/28/03)The necessary components of the child and teen checkup (EPSDT) werenot completed.Start: 01/01/2000Service billed is not compatible with patient location information.Start: 01/01/200040