Reason Code 11701 - JE Part A
Reason Code 11701
Reason Code Narrative
THE ADMISSION TYPE MUST BE EITHER 1, 2, 3, 4, 5 OR 9 IF THE BILL TYPE IN ITEM 4 IS 11X OR 41X. FOR BILL TYPES 12X AND 22X, ADMISSION TYPE IS REQUIRED FOR CLAIMS WITH RECEIPT DATE OF 7/1/04 OR GREATER. THIS EDIT WILL ASSIGN FOR TOBS 12X/22X WITH CONDITION CODE 'M1' WITH DATES OF SERVICE ON OR AFTER 10/01/05.
Common Reason Code Errors
- Claim was submitted without an Admission Type "Form Locator" (FL) 19 of a 1, 2, 3, 4, 5 or 9.
Note: Admission Type must be included on all Types of Bills (TOBs) for receipt date on/after April 4, 2011
Common Reason Code Corrections
- Correct or resubmit the claim with the appropriate Admission Type from the following list:
- 1 - Emergency
- 2 - Urgent
- 3 - Elective
- 4 - Newborn
- 5 - Trauma
- 9 - Information not Available
View reason code list, return to Reason Code Guidance page.
Last Updated Mon, 24 Oct 2022 14:58:17 +0000