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 or 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 Wed, 26 Feb 2020 14:57:31 +0000