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Front End Edit Codes and Descriptions for Professional Facility and Dental Blue Cross Blue Shield of Michigan Electronic Data Interchange A3 Y P232 F182 P342 P343 BANC BCBI BCOF BHDP BINC BION BOWD F213 VAEA VAED VB01 VB02 VHUH VQAA VQAB VQAH Dental Institutional StatusCode3 Edit Code Edit Description STC12 247 - LINE RETURNED.

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Submission - Hartford Financial Products Estates & Trusts Supplement - M. BURR KEIM AGENCY Automatic Vs You May Apply For A Limited Permit Either At The Same Time As Or After Submitting An - Op Nysed

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A3. Estimated Responsibility Payer A. Amount the provider estimates will be paid by the indicated payer.

A3:21 The claim/encounter has been rejected and has not been entered into the adjudication system. Missing or invalid information. Usage: At least one other status code is required to identify the missing or invalid information.

Unmapped code - code that is not referenced within the source map.

Claim Status Category codes are used in the Health Care Claim Status Notification (277) transaction. They indicate the general category of the status (accepted, rejected, additional information requested, etc.) which is then further detailed in the Claim Status Codes.

The value of 'A2' indicates a Coinsurance Payer A. Submitters can resubmit previously submitted data that was rejected due to use of value code = 'A2'.

Value codes are required on an institutional claim to identify data elements such as: Medicare lifetime reserve days, no-fault payments, and the number of days not covered by the primary payer.

Condition codes are a 2-digit numerical or alphanumeric representation of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact the processing of an institutional claim by a payer.

OC A3: Benefits have exhausted. Report the last date for which benefits are available. Occurrence span code (OSC) 70/Inlier: Providers do not report this OSC code for outlier claims.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232