Reason Code 38200

Reason Code Narrative

THIS CLAIM IS AN EXACT DUPLICATE OF A PREVIOUSLY SUBMITTED CLAIM WHERE THE FOLLOWING FIELDS ON THE HISTORY AND PROCESSING CLAIM ARE THE SAME;

  • HIC NUMBER
  • TYPE OF BILL (ALL THREE POSITIONS OF ANY TOB)
  • PROVIDER NUMBER
  • STATEMENT FROM DATE OF SERVICE
  • STATEMENT THROUGH DATE OF SERVICE
  • TOTAL CHARGES (0001 REVENUE LINE)
  • REVENUE CODE
  • HCPCS AND MODIFIERS (IF REQUIRED BY REVENUE CODE FILE)

Common Reason Code Errors

  • Claim submitted is exact duplicate of previously submitted claim and fields listed above are same on history and processing claim.

Common Reason Code Corrections

  • Verify and review services submitted against claims history.
  • If additional charges must be included on prior claim, submit an adjustment.
  • Do not submit a new claim.

Resources

 

Last Updated Oct 31, 2019