What is Adjustment Reason code 18?

Description. Reason Code: 18. Exact duplicate claim/service. Remark Code: N522. Duplicate of a claim processed, or to be processed, as a crossover claim.

What is OA18 denial code?

OA 18 denial code means exact duplicate claims or services. Exact duplicate means submitted claim is duplicate of another claim in terms of date of service (DOS), Type of service, Provider number, procedure code or CPT, place of service (POS) and billed amount.

What is CO16?

The CO16 denial code alerts you that there is information that is missing in order for Medicare to process the claim. Due to the CO (Contractual Obligation) Group Code, the omitted information is the responsibility of the provider and, therefore, the patient cannot be billed for these claims.

What does OA 133 mean?

133 The disposition of the claim/service is pending further review. (Use only with Group Code OA). Note: Use of this code requires a reversal and correction when the service line is finalized ( use only in Loop 2110 CAS segment of the 835 or Loop 2430 of the 837).

What does OA 23 mean?

OA-23: Indicates the impact of prior payers(s) adjudication, including payments and/or adjustments. No action required since the amount listed as OA-23 is the allowed amount by the primary payer. OA-109: Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.

What is CO16 denial?

The CO16 denial code alerts you that there is information that is missing in order to process the claim. Due to the CO (Contractual Obligation) Group Code, the omitted information is the responsibility of the provider and, therefore, the patient cannot be billed for these claims.

What does OA 23 denial mean?

What does denial code 23 mean?

What is the code for OA 18 in Illinois?

Loop 2000B – SBR02 – 18 qualifier for Medicare. Loop 2320 … CLM11-3 – Other Accident related (OA qualifier) … Loop 2320 – SBR09 – Claim filing indicator code … the reason the patient cannot sign. Vx570 Transaction Guide Illinois Medicaid Codes – Change …

What is the OA 18 denial code for 2016?

Enter a valid Medicaid condition code (fields 18. 1/2016. HealthPartners Confidential and Proprietary. 2. Claims Information Index …… amounts where the claim adjustment grouping code equals OA na. 18. Jan 1, 2016 … The billing provider will receive a denial with an EOB …. 2016. CPT Code. Conditions for Use of Code. 81220.

What is Oa 18 for exact duplicate claim?

18. Exact duplicate claim/service (Use only with Group Code OA except. Edit Codes, CARCs/RARCs, and Resolutions – South Carolina … Jan 1, 2016 … Review the resolution instructions below for the edit code (s) that apply to your claim. … denied. N34 – Incorrect claim/format for this service. The claim was submitted for an ……

When to use the OA 189 non standard adjustment code?

OA 189 “Not otherwise classified” or “unlisted” procedure code (CPT/HCPCS) was billed when there is a specific procedure code for this procedure/service. OA 192 Non standard adjustment code from paper remittance advice.