Reason Code 31094

Published 12/16/2019

Description
Total covered charges cannot be greater than zero if the third position of the type of bill (TOB) equals zero.

Resolution
Please verify the type of bill and and/or the total covered charges reported and resubmit a corrected claim. The corrected claim may be submitted via electronic media.

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