Transcription of Claim Adjustment Reason Codes Crosswalk to EX Codes
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Claim Adjustment Reason Codes Crosswalk to EX Codes
SHP_201614471 Revised April 2016EX CodeReason code (CARC)RARCDESCRIPTIONTYPEEXxA RESERVED FOR CXT PROCESSING DENYEXxI RESERVED FOR CXT PROCESSING DENYEXOS PAY: PAYMENT BASED ON FORENSIC REVIEW PAY EXiB 45 PAY: DRG PAYMENT INCREASE AFTER REVIEW OF MEDICAL RECORDS PAY EXiC 45 PAY: DRG PAYMENT Adjustment AFTER REVIEW OF MEDICAL RECORDS PAY EXiF 45 PAY: REINSTATE PAYMENT AFTER REVIEW OF MEDICAL RECORDS PAY EXiA A1 M127 DENY: MEDICAL RECORDS NOT RECEIVED PER PREVIOUS REQUEST DENYEXiE A1 N109 DENY: DRG INPATIENT PYMT DENIED AFTER REVIEW OF RECORDS.
Claim Adjustment Reason Codes Crosswalk to EX Codes: SHP_20161447 2 Revised April 2016 EX Code Reason Code (CARC) RARC DESCRIPTION TYPE EXCB 15 N596 AUTHORIZATION IS CANCELLED -ERROR IN ENTRY DENY EXHc 15 . N517 DENY: NO AUTHORIZATION ON FILE THAT MATCHES SERVICE(S) BILLED . DENY EXhf . 15 N596 . DENY: NO …
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Claim Adjustment Reason Codes Crosswalk
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