38032

FISS Narrative
FISS has received a duplicate outpatient claim that is the same as a previously processed outpatient claim.

Explanation and Suggestion:
The following conditions exist on both these claims:

  • Statement From & Through dates are the same
  • Provider numbers are the same
  • At least one diagnosis code matches
  • At least one revenue code matches
  • History or incoming claim has a HCPCS modifier for the same HCPCS & date of service

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