Reason Code W7026

Reason Code Narrative

INVALID SEX

Common Reason Code Errors

  • Beneficiary sex located in UB04 FL 15, electronic equivalent or on page one of Direct Data Entry (DDE) does not match Common Working File (CWF) data

Common Reason Code Corrections

  • Check beneficiary records to ensure that correct patient sex has been listed.
  • Verify if CWF matches local file and if there is no match found, contact Provider Contact Center to have corrections made to patient's local file.

Resource

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