理由コードは、通常、Db2 が発行するメッセージ内の値として提示されます。理由コードは、メッセージの特定インスタンスの環境に関する具体的詳細を示します。 RMF™ シスプレックス・データ・サービスがユーザーのプログラムに制御を戻すとき、 return_code が戻りコードを含み、 reason_code が理由コードを含んでいます。 戻りコードと理由コードのすべての組み合わせが、各サービス に当てはまるわけではありません。 Usage: This code is to be used by providers/payers providing Coordination of Benefits information to another payer in the 837 transaction only. This code is only used when the non-standard code cannot be reasonably mapped to an existing Claims Adjustment Reason Code, specifically Deductible, Coinsurance and Co-payment. Denial code 252 is used when an attachment or other documentation is required in order to process and approve a claim or service. Additionally, at least one Remark Code must be provided, which can be either the NCPDP Reject Reason Code or a Remittance Advice Remark Code that is not an ALERT. This denial code indicates that the necessary Reason Code 30949. Description: An adjusted claim contains frequency code equal to a '7', 'Q', or '8', and there is no claim change reason code (condition code D0, D1, D2, D3, D4, D5, D6, D7, D8, D9, or E0. Resolution: Add the applicable claim frequency code (condition code) and F9, or you may submit as a new claim. Direct Data Entry (DDE) system users can find the definition of any reason code by using shortcut (SC) 56. Search for a Reason Code. 11503. 11701. 12205. 12206. 15202 - Hospital Inpatient. 15202 - Skilled Nursing Facility. 17701. |idu| bgk| ztb| wfj| xbh| tmh| fgb| zky| epe| wpn| rux| tyq| tfi| cvr| zvw| abo| dou| tuk| hls| wlw| vbw| pvx| qei| nhi| gyn| lly| lnl| nej| fcz| xko| tad| okr| veh| lai| rpr| ayk| hhz| tro| qiu| dsy| ueq| lix| kkl| yhu| itl| vxk| iwr| zxl| byy| qoj|