38117

FISS Narrative:
Bills for a continuous stay or admission must be submitted in the same sequence in which the services are furnished. If you have not already done so, please submit the prior bill, then resubmit this bill after you receive the remittance advice for the prior bill.

Explanation and suggestion:

  • This reason code is an "out of sequence" error which usually occurs because the initial, first, and admission claim in the sequence has not been processed or paid
  • The reason code also notes that this prior claim may be pending and/or in process in FISS
  • Check claims inquiry (Inquiry Menu option #12) for the claim in process
  • The current claim cannot be released until the "in process" claim is paid
  • If the "in sequence"/prior claim is not already in FISS, it must be submitted and paid before the current claim can process

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