Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN148N149N150N151N152N153N154N155N156N157DescriptionMissing/incomplete/invalid date of last menstrual period.Start: 10/31/2002Rebill all applicable services on a single claim.Start: 10/31/2002Missing/incomplete/invalid model number.Start: 10/31/2002Telephone contact services will not be paid until the face-to-facecontact requirement has been met.Start: 10/31/2002Missing/incomplete/invalid replacement claim information.Start: 10/31/2002Missing/incomplete/invalid room and board rate.Start: 10/31/2002Alert: This payment was delayed for correction of provider's mailingaddress.Start: 10/31/2002 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Alert: Our records do not indicate that other insurance is on file. Pleasesubmit other insurance information for our records.Start: 10/31/2002 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Alert: The patient is responsible for the difference between theapproved treatment and the elective treatment.Start: 10/31/2002 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Transportation to/from this destination is not covered.Start: 02/28/2003 | Last Modified: 02/01/2004Notes: (Modified 2/1/04)52