Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN188N189N190N191N192N193N194N195N196N197N198DescriptionThe approved level of care does not match the procedure codesubmitted.Start: 02/28/2003Alert: This service has been paid as a one-time exception to the plan'sbenefit restrictions.Start: 02/28/2003 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)Missing contract indicator.Start: 02/28/2003 | Last Modified: 08/01/2004Notes: (Modified 8/1/04) Related to N229The provider must update insurance information directly with payer.Start: 02/28/2003Patient is a Medicaid/Qualified Medicare Beneficiary.Start: 02/28/2003Specific federal/state/local program may cover this service throughanother payer.Start: 02/28/2003Technical component not paid if provider does not own the equipmentused.Start: 02/25/2003The technical component must be billed separately.Start: 02/25/2003Alert: Patient eligible to apply for other coverage which may be primary.Start: 02/25/2003 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)The subscriber must update insurance information directly with payer.Start: 02/25/2003Rendering provider must be affiliated with the pay-to provider.Start: 02/25/200356