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Reason Code: 38119

Error Description:

Effective with admissions on and after 4/1/1995, all inpatient SNF and non-PPS bills must be processed in sequence. We have not received the claim immediately preceding the dates of service on this bill.

Avoiding/Correcting This Error

  • Verify the admission date and from date on this claim
  • Verify the patient’s MBI to make sure that it has been correctly reported
  • If the MBI is incorrect, this edit will be assigned
  • If admission and from dates as well as the MBI were correctly reported, you must submit the prior claim
  • The prior claim must appear on your remittance advice before this claim can be processed
  • Once the prior claim has shown on the remittance advice, you may return the claim to us