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.
- CMS Internet Only Manual (IOM) Publication 100-04, Chapter 4, Section 180.4
- CMS IOM, Publication 100-04, Chapter 16, Section 100.5
- CMS Change Request (CR)4047
Last Updated Oct 31, 2019