Description
An adjusted claim contains frequency code equal to a "7," "Q" or "8," and there is no claim change reason code (condition code D0, D1, D2, D3, D4, D5, D6, D7, D8, D9 or E0).

Resolution
Add the applicable claim frequency code (condition code) and F9, or you may submit as a new claim.

Note: If, after reviewing the error(s), you decide that you would rather resubmit the billing transaction than to correct it, you may do so. Duplicate claim editing does not apply to claims in the RTP file. Palmetto GBA encourages you to suppress the view of any billing transaction that you do not intend to correct. Instructions for suppressing the view of claims are found in the DDE User's Guide; Section 5.

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

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