FISS Narrative:
Claim contains occurrence span code 74, 76, 77 or 79 and a line item date of service has been billed that is equal to or within the span 'FROM' and 'THROUGH' dates with covered charges greater than zero.

Explanation and Suggestion:

  • The occurrence span codes in this reason code narrative all represent a non-covered period of time within the otherwise covered duration of the claim
  • There should not be any covered charges listed on the claim for the period covered by these span codes
  • Either correct the overlapping line item date of service or remove the line item from the claim

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