co 256 denial code descriptions

Requested information was not provided or was insufficient/incomplete. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. No maximum allowable defined by legislated fee arrangement. The disposition of the related Property & Casualty claim (injury or illness) is pending due to litigation. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. (Handled in MIA), Reason Code 82: Patient Interest Adjustment (Use Only Group code PR). Prior processing information appears incorrect. Reason Code 199: Non-covered personal comfort or convenience services. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Payment denied because service/procedure was provided outside the United States or as a result of war. Reason Code 220: Adjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created. Upon review, it was determined that this claim was processed properly. Reason Code 197: Expenses incurred during lapse in coverage, Reason Code 198: Patient is responsible for amount of this claim/service through 'set aside arrangement' or other agreement. This (these) diagnosis(es) is (are) not covered, missing, or are invalid. Workers' Compensation claim is under investigation. Reason Code 256: Additional payment for Dental/Vision service utilization. Reason Code 257: Processed under Medicaid ACA Enhance Fee Schedule. Reason Code 258: The procedure or service is inconsistent with the patient's history. Reason Code 259: Adjustment for delivery cost. Note: to be used for pharmaceuticals only. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. This Payer not liable for claim or service/treatment. (Handled in QTY, QTY01=CD), Patient Interest Adjustment (Use Only Group code PR). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT. Reason Code 228: Mutually exclusive procedures cannot be done in the same day/setting. (Use only with Group Code OA). Information from another provider was not provided or was insufficient/incomplete. The attachment/other documentation that was received was the incorrect attachment/document. Browse and download meeting minutes by committee. (Use CARC 45). Reason Code 122: Submission/billing error(s). If it is an HMO, Work Comp or other liability they will require notes to be sent or The procedure/revenue code is inconsistent with the patient's gender. Predetermination: anticipated payment upon completion of services or claim adjudication. Membership categories and associated dues are based on the size and type of organization or individual, as well as the committee you intend to participate with. The beneficiary is not liable for more than the charge limit for the basic procedure/test. Claim/Service missing service/product information. (Use only with Group Code OA). This change effective 7/1/2013: Failure to follow prior payer's coverage rules. Precertification/authorization/notification/pre-treatment number may be valid but does not apply to the provider. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Reason Code 18: This injury/illness is the liability of the no-fault carrier. Procedure is not listed in the jurisdiction fee schedule. Charges do not meet qualifications for emergent/urgent care. Are you looking for more than one billing quotes? Submit a request for interpretation (RFI) related to the implementation and use of X12 work. Adjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Service not paid under jurisdiction allowed outpatient facility fee schedule. Reason Code 243: This non-payable code is for required reporting only. Procedure/treatment/drug is deemed experimental/investigational by the payer. The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed. Upon review, it was determined that this claim was processed properly. This injury/illness is covered by the liability carrier. To be used for Workers' Compensation only. Reason Code 164: This (these) diagnosis(es) is (are) not covered. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Precertification/authorization/notification/pre-treatment number may be valid but does not apply to the billed services. Services not provided or authorized by designated (network/primary care) providers. This claim/service will be reversed and corrected when the grace period ends (due to premium payment or lace of premium payment). Legislated/Regulatory Penalty. Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') if the jurisdictional regulation applies. (Use Group Code OA). It also happens to be super easy to correct, resubmit and overturn. Reason Code 67: Cost outlier - Adjustment to compensate for additional costs. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF). Claim received by the dental plan, but benefits not available under this plan. Reason Code 86: Professional fees removed from charges. Medicare Secondary Payer Adjustment Amount. . The authorization number is missing, invalid, or does not apply to the billed services or provider. Anesthesia not covered for this service/procedure. The following will be added to this definition on 7/1/2023, Usage: Use this code only when a more specific Claim Adjustment Reason Code is not available. Deductible for Professional service rendered in an Institutional setting and billed on an Institutional claim. Reason Code Description 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent with the modifier used or a required The diagnosis is inconsistent with the provider type. Usage: To be used for pharmaceuticals only. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Reason Code 226: Partial charge amount not considered by Medicare due to the initial claim Type of Bill being 12X. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.) Original payment decision is being maintained. Indemnification adjustment - compensation for outstanding member responsibility. Monday, April 25, 2016 Denial Action on Medicare code MA61, MA27, N256, MA112 AND M79 Beneficiary name and/or Medicare number MA61: Missing/incomplete/invalid Social Security number or health insurance claim number (HICN). The diagnosis is inconsistent with the provider type. This claim has been identified as a readmission. Not covered unless the provider accepts assignment. Adjustment for delivery cost. To renewan X12 membership, complete and submit an application form which will be reviewed and verified, then you will be notified of the next steps. X12s Annual Release Cycle Keeps Implementation Guides Up to Date, B2X Supports Business to Everything for X12 Stakeholders, Winter 2023 Standing Meeting - Pull up a chair, Saddened by the loss of a long-time X12 contributor, Evolving X12s Licensing Model for the Greater Good, Repeating Segments (and Loops) that Use the Same Qualifier, Electronic Data Exchange | Leveraging EDI for Business Success. Remark Code: N130. (Use only with Group Code CO). This payment is adjusted when performed/billed by this type of provider, by this type of provider in this type of facility, or by a provider of this specialty. To be used for Workers' Compensation only, Based on subrogation of a third party settlement, Based on the findings of a review organization, Based on payer reasonable and customary fees. Reason Code 205: National Provider Identifier - Not matched. Prior processing information appears incorrect. The main goal of our organization is to assist physicians looking for billers and coders, at the same time help billing specialists looking for jobs, reach the right place. Reason Code 23: Expenses incurred prior to coverage. Reason Code 59: Payment denied/reduced for absence of, or exceeded, pre-certification/authorization. The diagnosis is inconsistent with the patient's age. Claim lacks invoice or statement certifying the actual cost of the lens, less discounts or the type of intraocular lens used. Reason Code 125: New born's services are covered in the mother's Allowance. This product/procedure is only covered when used according to FDA recommendations. Note: This code can only be used in the 837 transaction to convey Coordination of Benefits information when the secondary payer's cost avoidance policy allows providers to bypass claim submission to a prior payer. These services were submitted after this payers responsibility for processing claims under this plan ended. Patient has not met the required spend down requirements. Indemnification adjustment - compensation for outstanding member responsibility. Search box will appear then put your adjustment reason code in search box e.g. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Coverage not in effect at the time the service was provided. Submit these services to the patient's Behavioral Health Plan for further consideration. Reason Code 241: Payment reduced to zero due to litigation. The diagnosis is inconsistent with the patient's gender. (Use Group code OA) This change effective 7/1/2013: Per regulatory or other agreement. Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') for the jurisdictional regulation. Reason Code 20: The impact of prior payer(s) adjudication including payments and/or adjustments. Description. Reason Code 219: Exceeds the contracted maximum number of hours/days/units by this provider for this period. Reason Code 104: The related or qualifying claim/service was not identified on this claim. Administrative surcharges are not covered. Benefits are not available under this dental plan. Reason Code A2: Medicare Claim PPS Capital Cost Outlier Amount. These codes generally assign responsibility for the adjustment amounts. Patient is covered by a managed care plan. Medicare Claim PPS Capital Cost Outlier Amount. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Note - Applies to institutional claims only and explains the DRG amount difference when the patient care crosses multiple institutions. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Note: Use code 187. Reason Code 264: Claim/service spans multiple months. Reason Code: 204. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. 06 The procedure/revenue code is inconsistent with the patients age. ), Requested information was not provided or was insufficient/incomplete. The diagnosis is inconsistent with the patient's age. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT. Usage: To be used for pharmaceuticals only. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an alert. Reason Code 1: The procedure code is inconsistent with the modifier used or a required modifier is missing. This service/equipment/drug is not covered under the patient's current benefit plan. CMS houses all information for Local Coverage or National Coverage Determinations that have been established. Identity verification required for processing this and future claims. Reason Code 95: The hospital must file the Medicare claim for this inpatient non-physician service. Legislated/Regulatory Penalty. Each request will be in one of the following statuses: Fields marked with an asterisk (*) are required, consensus-based, interoperable, syntaxneutral data exchange standards, X12 Member Announcement: Recommendations to NCVHS - Set 2. The billing provider is not eligible to receive payment for the service billed. This procedure is not paid separately. Submit these services to the patient's vision plan for further consideration. Reason Code 211: Workers' Compensation claim adjudicated as non-compensable. Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Class of Contract Code Identification Segment (Loop 2100 Other Claim Related Information REF). Denial code CO 16 says that the service or claim lacks the necessary information needed for the adjudication. The denial code CO 18 revolves around a duplicate service or claim while the denial code CO 22 revolves around the fact that the care can be covered by any other payer for coordination of the benefits involved. This feedback is used to inform X12's decision-making processes, policies, and question and answer resources. Claim/service not covered when patient is in custody/incarcerated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Service/procedure was provided as a result of an act of war. Reason Code 7: The diagnosis is inconsistent with the patient's gender. X12 is led by the X12 Board of Directors (Board). (Use only with Group Code OA). Reason Code 134: Regulatory Surcharges, Assessments, Allowances or Health Related Taxes. Claim received by the medical plan, but benefits not available under this plan. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.). This change effective 7/1/2013: Claim is under investigation. Claim/service denied. Consumer Spending Account payments (includes but is not limited to Flexible Spending Account, Health Savings Account, Health Reimbursement Account, etc.). Sign up now and take control of your revenue cycle today. This procedure is not paid separately. Reason Code 28: Patient cannot be identified as our insured. To be used for Workers' Compensation only. Another code to be established and/or for 06/2008 meeting for a revised code to replace or strategy to use another existing code, This dual eligible patient is covered by Medicare Part D per Medicare Retro-Eligibility. Reason Code 2: The procedure code/bill type is inconsistent with the place of service. Adjustment for administrative cost. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Claim received by the medical plan, but benefits not available under this plan. Claim/service denied. To be used for Property and Casualty Auto only. Refund to patient if collected. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT). Jan 8, 2014. To be used for Workers' Compensation only. (Use only with Group Code OA). Payment reduced or denied based on workers' compensation jurisdictional regulations or payment policies, use only if no other code is applicable. (Use only with Group Code PR). Edward A. Guilbert Lifetime Achievement Award. Claim received by the medical plan, but benefits not available under this plan. The necessary information is still needed to process the claim. Medical Payments Coverage (MPC) or Personal Injury Protection (PIP) Benefits jurisdictional fee schedule adjustment. Not a work related injury/illness and thus not the liability of the workers' compensation carrier Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') for the jurisdictional regulation. Benefit maximum for this time period or occurrence has been reached. Charges are covered under a capitation agreement/managed care plan. Reason Code 227: No available or correlating CPT/HCPCS code to describe this service. Provider promotional discount (e.g., Senior citizen discount). Submit the form with any questions, comments, or suggestions related to corporate activities or programs. No maximum allowable defined by legislated fee arrangement. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.). Stuck at medical billing? (Handled in QTY, QTY01=LA). Completed physician financial relationship form not on file. This provider was not certified/eligible to be paid for this procedure/service on this date of service. Note: Used only by Property and Casualty. Procedure postponed, canceled, or delayed. This claim/service will be reversed and corrected when the grace period ends (due to premium payment or lace of premium payment). Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. However, this amount may be billed to subsequent payer. No available or correlating CPT/HCPCS code to describe this service. Balance does not exceed co-payment amount. Lifetime benefit maximum has been reached. Non-compliance with the physician self referral prohibition legislation or payer policy. PIL02b1 Publishing and Maintaining Externally Developed Implementation Guides, PIL02b2 Publishing and Maintaining Externally Developed Implementation Guides. Non-compliance with the physician self-referral prohibition legislation or payer policy. Patient has not met the required residency requirements. If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF) if the regulations apply. , Group Credentialing Services, Re-Credentialing Services. Revenue code and Procedure code do not match. Claim/Service has invalid non-covered days. Patient cannot be identified as our insured. Reason Code 110: Payment denied because service/procedure was provided outside the United States or as a result of war. Usage: Do not use this code for claims attachment(s)/other documentation. Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Class of Contract Code Identification Segment (Loop 2100 Other Claim Related Information REF). Code. (Use only with Group Code OA). Reason Code 92: Plan procedures not followed. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an Alert). (Note: To be used for Property and Casualty only). Payment denied/reduced for absence of, or exceeded, pre-certification/authorization. Reason Code 187: Payment is included in the allowance for a Skilled Nursing Facility (SNF) qualified stay. Workers' Compensation Medical Treatment Guideline Adjustment. Procedure modifier was invalid on the date of service. Reason Code 176: Patient has not met the required waiting requirements. Reason Code 259: Adjustment for delivery cost. Reason Code 121: Payer refund amount - not our patient. This service/equipment/drug is not covered under the patient's current benefit plan, National Provider identifier - Invalid format. Based on subrogation of a third-party settlement, Based on the findings of a review organization, Based on payer reasonable and customary fees. This is not patient specific. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Payment denied/reduced for absence of, or exceeded, pre-certification/authorization. The procedure/revenue code is inconsistent with the patient's gender. Reason Code 17: This injury/illness is covered by the liability carrier. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Next step verify the application to see any authorization number available or not for the services rendered. Not a work related injury/illness and thus not the liability of the workers' compensation carrier Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') for the jurisdictional regulation. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.). Our records indicate the patient is not an eligible dependent. Predetermination: anticipated payment upon completion of services or claim adjudication. Refund to patient if collected. Reason Code 107: Billing date predates service date. (Use only with Group Code OA). Prior hospitalization or 30-day transfer requirement not met. Service/procedure was provided as a result of an act of war. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.). Workers' Compensation claim adjudicated as non-compensable. If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF). These services were submitted after this payers responsibility for processing claims under this plan ended. ), Exact duplicate claim/service (Use only with Group Code OA except where state workers' compensation regulations requires CO). Only one visit or consultation per physician per day is covered. ), Duplicate claim/service. Reason Code 94: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Reason Code 178: Procedure code was invalid on the date of service. Patient has not met the required eligibility requirements. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT. State-mandated Requirement for Property and Casualty, see Claim Payment Remarks Code for specific explanation. Reason Code 260: Adjustment for shipping cost. Adjustment for delivery cost. Aid code invalid for . Usage: Applies to institutional claims only and explains the DRG amount difference when the patient care crosses multiple institutions. This claim has been identified as a resubmission. Payment reduced to zero due to litigation. Reason Code 249: An attachment is required to adjudicate this claim/service. Reason Code 8: The diagnosis is inconsistent with the procedure. To be used for Property & Casualty only. Submit these services to the patient's medical plan for further consideration. Reason Code 57: Charges for outpatient services are not covered when performed within a period of time prior to orafter inpatient services. Committee-level information is listed in each committee's separate section. This reason code list will help you to identify the actual reason of adjustment or reduced payment. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Services not provided or authorized by designated (network/primary care) providers. Contracted funding agreement - Subscriber is employed by the provider of services. The Claim spans two calendar years. Claim/service denied. This (these) diagnosis(es) is (are) not covered. This non-payable code is for required reporting only. To be used for Property and Casualty only. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. (For example, multiple surgery or diagnostic imaging, concurrent anesthesia.) Not a work related injury/illness and thus not the liability of the workers' compensation carrier Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') for the jurisdictional regulation. Review X12's official interpretations based on submitted RFIs related to the meaning and use of X12 Standards, Guidelines, and Technical Reports, including Technical Report Type 3 (TR3) implementation guidelines. The claim/service has been transferred to the proper payer/processor for processing. To be used for P&C Auto only. Denial Code CO 16: Claim or Service Lacks Information which is needed for adjudication. Submit these services to the patient's dental plan for further consideration. These are non-covered services because this is not deemed a 'medical necessity' by the payer. Service(s) have been considered under the patient's medical plan. Reason Code 204: National Provider identifier - Invalid format. If adjustment is at the Line Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF). Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') if the jurisdictional regulation applies. Service was not prescribed prior to delivery. The hospital must file the Medicare claim for this inpatient non-physician service. Reason Code 236: Claim spans eligible and ineligible periods of coverage. Categories include Commercial, Internal, Developer and more. Payment is denied when performed/billed by this type of provider in this type of facility. It will not be updated until there are new requests. Please resubmit a bill with the appropriate fee schedule/fee database code(s) that best describe the service(s) provided and supporting documentation if required. Stuck at medical billing? Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. The impact of prior payer(s) adjudication including payments and/or adjustments. WebCode Description 01 Deductible amount. X12 standards are the workhorse of business to business exchanges proven by the billions of daily transactions within and across many industries including: X12 has developed standards and associated products to facilitate the transmission of electronic business messages for over 40 years. Reason Code 36: Services denied at the time authorization/pre-certification was requested. The provider cannot collect this amount from the patient. OA Group Reason code applies when other Group reason code cant be applied. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Reason Code 105: Rent/purchase guidelines were not met. Reason Code 261: Adjustment for postage cost. The procedure code/type of bill is inconsistent with the place of service. Summer 2023 X12 Standing Meeting On-Site in San Antonio, TX, Continuation of Summer X12J Technical Assessment meeting, 3:00 - 5:00 ET, Summer Procedures Review Board meeting, 3:00 - 5:00 ET, Deadline for submitting code maintenance requests for member review of Batch 121, Insurance Business Process Application Error Codes, Accredited Standards Committees Steering group, X12-03 External Code List Oversight (ECO), Member Representative Request for Workspace Access, 270/271 Health Care Eligibility Benefit Inquiry and Response, 276/277 Health Care Claim Status Request and Response, 277 Health Care Information Status Notification, 278 Health Care Services Review - Request for Review and Response, 278 Health Care Services Review - Inquiry and Response, 278 Health Care Services Review Notification and Acknowledgment, 278 Request for Review and Response Examples, 820 Payroll Deducted and Other Group Premium Payment For Insurance Products Examples, 820 Health Insurance Exchange Related Payments. (Handled in QTY, QTY01=LA). Penalty or Interest Payment by Payer (Only used for plan to plan encounter reporting within the 837), Information requested from the Billing/Rendering Provider was not provided or not provided timely or was insufficient/incomplete. Late claim denial. (Use Group Codes PR or CO depending upon liability). Reason Code 133: Failure to follow prior payer's coverage rules. Reason Code 50: Services by an immediate relative or a member of the same household are not covered. : The procedure code is inconsistent with the provider type/specialty (taxonomy). Reason Code 152: Patient refused the service/procedure. Webco 256 denial code descriptionshouses for rent by owner in calhoun, ga; co 256 denial code descriptionsjim jon prokes cause of death; co 256 denial code descriptionscafe patachou nutrition information co 256 denial code descriptions. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. Alphabetized listing of current X12 members organizations. Reason Code 27: Payment adjusted because the patient has not met the required eligibility, spend down, waiting, or residency requirements. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

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