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Reason Code: 31605

Error Description:

Claim has occurrence code 77 with ‘From’ and ‘Through’ dates indicating non-coverage during this time. However, a line item date is present that is equal to or within this non-covered time and the charges are greater than zero.
Verify that the following was entered correctly: 

  • Occurrence code and span dates
  • Line item dates
  • Charges

 

Avoiding/Correcting This Error

The occurrence span code 77 should only be used to indicate the span of days that were not covered on claims.

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