Reason Code U5211

Reason Code Narrative

THE STATEMENT FROM/THRU DATE IS GREATER THAN THE DATE OF DEATH ON THE BENEFICIARY MASTER RECORD.

Common Reason Code Errors

  • Claim was submitted with a date of service after date of death of beneficiary.
  • Date of death on Common Working File (CWF) is incorrect.
  • Patient status 20 billed incorrectly on history claim in CWF.
  • Occurrence code 55 reflects a date after the date of death on CWF.

Common Reason Code Corrections

  • Verify date of death on the beneficiary file is correct. If incorrect, information needs to be corrected with Social Security Administration (SSA).
  • Once the correct date is on CWF file for the beneficiary, resubmit claim.
  • If incorrect patient status has been billed on a history CWF claim this will need to be corrected through an adjustment.

View reason code list, return to Reason Code Guidance page.
 

Last Updated Tue, 22 May 2018 10:33:33 +0000