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Jurisdiction 11 Part A

FISS Narrative
The Occurrence Code 22 date must be within the statement covers period for all skilled nursing facility (SNF) types of bills (TOBs) 18x, 21x, 28x or 51x unless the non-payment code is equal to C, N or W then the date can be prior to the claim From Date or after the claim Thru Date.

Guidelines and Suggestions
For Occurrence Code 22, the date must be prior to or the same as the From Date in the Statement Covers Period field. It cannot be used on a no-payment bill.


last updated on 08/11/2015
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