Reason Code: 38200
Error Description:
Home Health and Hospice: This claim is an exact duplicate of a previously submitted claim where the following fields on the history and processing claim are the same:
- MBI
- TOB (all three positions of any TOB)
- Provider number
- Statement ‘from’ date of service
- Statement ‘through’ date of service
- Total charges (0001 revenue line)
- Revenue code
- HCPCS and modifiers (if required by revenue code file)
Avoiding/Correcting This Error
This reason code may be applied when an NOA and period of care claim are submitted at the same time or when an NOA and one is already in the system.
If the NOA and claim were submitted at the same time, and no NOA has yet been processed for the admission period, resubmit the NOA and wait for it to process before submitting the claim.
If the NOA already on the system needs to be corrected, cancel the processed NOA and after it has canceled, submit the NOA with the corrected information.