Reason Code W7023

Reason Code Narrative


Common Reason Code Errors

  • The beneficiary sex located in UB04 FL 11 or electronic equivalent or on page one of Direct Data Entry (DDE) is not compatible with one or more of procedure codes listed in FL 74 A-E.
  • The beneficiary sex listed in DDE does not match Common Working File (CWF) data.

Common Reason Code Corrections

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


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


Last Updated Jan 16 , 2023