U5391

FISS Narrative
One of the fields on the final claim (TOB 329 or 339) does not match the RAP.

Explanation and Suggestion
Verify that these fields on the final claim match the RAP:
  1. Statement from date
  2. Admission date
  3. HIPPS code
  4. Line item date for the HIPPS code (0023 revenue line date)
  5. Provider number

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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