30905

FISS Narrative: 

  • There is no record of processing an original claim for this adjustment
  • Verify the patient's Medicare ID number, dates of service and cross reference DCN
  • If the patient's Medicare ID number is wrong, a new adjustment or cancel must be submitted
  • Please correct and resubmit
  • Hardcopy submitters resubmit RTP report with corrections

Explanation and Suggestion:

  • The claim you are trying to adjust cannot be found
  • Please verify the patient's Medicare ID number, dates of service and the cross reference DCN
  • Please correct and resubmit
  • Hardcopy submitters resubmit RTP report with corrections

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

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