Reason Code 30955

Published 12/16/2019

The adjustment (XX7) or Cancel (XX8) bill contains an invalid cross reference Document Control Number (DCN). The cross reference DCN should be the DCN of the original processed claim that is either being adjusted or canceled.

Verify that the correct Direct Data Entry (DDE) screen is being used for the adjustment (attempting to adjust a claim on the correction menu). If adjustment was attempted on the correction screen, disregard and verify that you are on the correct menu to cancel a claim. Do not attempt to suppress the incorrect adjustment from the correction screen. Make appropriate corrections and F9 claim or resubmit.

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