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  • Posting Date: 10/02/2024
    CO-B7

    Avoiding/Correcting This Error There is an issue with the billing and/or rendering provider credentialing information per provider enrollment, provider information submitted on the claim and/or or the services provided are not allowed per the [...]

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  • Posting Date: 10/02/2024
    CO-B7

    Avoiding/Correcting This Error The billing or rendering provider NPI is not actively enrolled with Medicare on the date(s) of service billed on the claim. Please verify the provider's Medicare effective date in PECOS. If the provider shows [...]

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  • Posting Date: 10/07/2024
    CO-16

    Avoiding/Correcting This Error The CPT/HCPCS code reported is not valid for the date(s) of service billed on the claim. This may also mean that the digits or alpha characters in the code are incorrectly reported. Please review the claim and [...]

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  • Posting Date: 10/02/2024
    OA-18

    Avoiding/Correcting This Error A duplicate claim submission occurs when a provider resubmits a claim either on paper or electronically for a single encounter and the service is provided by the same provider to the: same beneficiary; for the [...]

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