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29. november 2011 at 11:05






























































Related article: M/I Other Payer Amount Paid 4959 Edit needed to create additinoal reports for PA Subsystem (CSR 14). B B B B DV M/I Other Payer Amount Paid 4231 C If the Other Coverage Code is 2 (Other Coverage Exists � Payment Collected) AND The payerid paid amount is missing (zero). OR If the Other Coverage Code is �0� (Not specified) OR �1� (No other coverage identified) Clonazepam Generic Price �3� (Other coverage exists - this clam not covered) OR �4� (Other coverage exists - payment not collected) AND The payerid paid amount is greater than zero. D D D D DX M/I Patient Paid Amount Submitted 4233 B The Patient Paid Amount Submitted not numeric OR Patient Paid Amount Submitted is numeric and is greater than $0.00 and less than $2.00 B B B B DY INJURY DATE 4234 B The claim is a workers compensation claim and the Date Of Injury is missing (zeros). B B B B DZ CLAIM / REFERENCE ID 4235 B The claim is a workers compensation claim and the Claim/Reference ID is missing (spaces). B B B B EA M/I Originally Prescribed Product/Service Code 4933 B M/I Originally Prescribed Product/Service Code D D D D
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