Reason Code U5211

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.
 

Last Updated May 22, 2018