Tip: Reused Claim Numbers

Number

0155

Submitting Entity (SE)

71420 and 79413D

Add Date

May 17, 2024

Update Date

Jun 6, 2024

Update

This is included in the June 2024 Data Tips Email.

Description

The claims processing systems for 71420 and 79413D often use the same claim numbers for different types of claims (facility vs professional).  So for example the same claim number is used for a physician claim and also for a facility claim.  The way to differentiate the claims is to add in type of claim (MC094).  That will make the claims unique.

Active/Resolved

Active

Action / Resolution

 

Category 1

Misc

Category 2

Claim Type

Tip / Issue

Tip