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Reason Code: 34977

Error Description:

Practice address issue: Claim level reason code appliable to a 13X or 14X TOB. The practice address present on the claim does not match the address on the Provider Practice Address Query Screen (MAP1AB2) in FISS DDE or PECOS.

Avoiding/Correcting This Error

If you are billing for on-campus services only:

  • Report the billing provider address only in the billing provider loop 2010AA
    • Do not report any service facility location in loop 2310E (or in DDE MAP 171F screen for DDE submitters)
  • Refer to SE19007 for how to bill additional scenarios

Please verify billing and, if appropriate, correct by updating the practice address on the claim to exactly match the address on the Provider Practice Address Query Screen (MAP1AB2) in FISS DDE or in PECOS.

Online Providers: Press PF9 to store the claim.

Other Providers: Return to the MAC.

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