Exact Duplicate Claim/Service

CARC/RARC Description
OA-18 Exact duplicate claim/service
N522 Duplicate of a claim processed, or to be processed, as a crossover claim.

 

Common Reason for Message

  • This is a duplicate to a service that has already been paid.

Next Steps

  • Verify medical documentation for the following:
    • Service appropriate to bill
    • Date of service
    • Is a modifier required?
    • Payment already allowed and/or paid to patient's deductible
  • Submit Appeal request - Items or services with this message have appeal rights

Claim Submission Tips

 

Last Updated Tue, 20 Oct 2020 17:27:20 +0000