Reason Code 15431

Published 05/14/2021

This claim has returned to the provider (RTP) with non-covered charges for revenue code 0001. The sum must be equal to the sum of the non-covered charges for all other revenue codes.   

Please ensure that the revenue code 0001 sum for the non-covered charges are correct on the claim before returning it to the processing system.

CMS Internet Only Manual (IOM), Publication 100-4, Medicare Claims Processing Manual.                                                  

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