U5210

FISS Narrative
The purpose of this edit is to ensure that Medicare pays only for services for which the beneficiary is entitled.  According to CMS records, entitlement for Medicare coverage terminated prior to first date for services provided on claim. 

Explanation and Suggestion:
The services are for a date of service after the benefits terminated and no Medicare payment can be made. Investigate and check the patient’s eligibility! If appropriate, you may correct & resubmit the claim.

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Provider Contact Center: 855-696-0705

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