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 date of death in CWF

Common Reason Code Corrections

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

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