BARADJR ; IHS/SD/LSL - CREATE ENTRY IN A/R EDI STND CLAIM ADJ REASON ;
;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005
;
; IHS/SD/LSL - 08/01/2002 - V1.6 Patch 3
; For HIPAA compliance. Populate A/R EDI STND CLAIM ADJ REASON
; File with mapping to RPMS
;
; *********************************************************************
ENTRY ;
; Create entry
S BARD=";;"
S BARCNT=0
F D EN2 Q:BARVALUE="END"
D ^BARVKL0
Q
; ********************************************************************
EN2 ;
S BARCNT=BARCNT+1
S BARVALUE=$P($T(@1+BARCNT),BARD,2,5)
Q:BARVALUE="END"
K DIC,DA,X,Y
S DIC="^BARTBL("
S DIC(0)="LZE"
S DINUM=$P(BARVALUE,BARD)
S X=$P(BARVALUE,BARD,2)
S DIC("DR")="2///^S X=$P(BARVALUE,BARD,3)"
K DD,DO
D FILE^DICN
Q
; *********************************************************************
; IEN;;NAME;;TABLE TYPE;;ACRONYM
; *********************************************************************
1 ;;
;;602;;COINSURANCE;;CO-PAY
;;604;;CODING ERROR;;PENDING
;;605;;CODING ERROR;;PENDING
;;606;;CODING ERROR;;PENDING
;;607;;CODING ERROR;;PENDING
;;608;;CODING ERROR;;PENDING
;;609;;CODING ERROR;;PENDING
;;610;;CODING ERROR;;PENDING
;;611;;CODING ERROR;;PENDING
;;612;;CODING ERROR;;PENDING
;;613;;DEATH PRECEDES DOS;;PENDING
;;614;;BIRTH FOLLOWS DOS;;PENDING
;;615;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;616;;MISSING DATA;;PENDING
;;617;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;619;;OTHER TPL;;PENDING
;;620;;OTHER TPL;;PENDING
;;621;;OTHER TPL;;PENDING
;;622;;OTHER PRIMARY COVERAGE;;PENDING
;;623;;OTHER PRIMARY COVERAGE-OTH PAY;;NON PAYMENT
;;624;;OVER CONTRACTED AMOUNT-CAP;;NON PAYMENT
;;625;;STOP LOSS DEDUCT NOT MET;;NON PAYMENT
;;626;;OUTSIDE COVERAGE DATES-PRIOR;;NON PAYMENT
;;627;;OUTSIDE COVERAGE DATES-AFTER;;NON PAYMENT
;;628;;OUTSIDE COVERAGE DATES-COV/DOS;;NON PAYMENT
;;630;;PAT NOT MET REQD REQMNTS;;NON PAYMENT
;;632;;NO ELIG. FOUND-DEP NOT ELIG;;NON PAYMENT
;;633;;NO ELIG. FOUND-NO DEP COV;;NON PAYMENT
;;636;;BAL DOES NOT EXCEED COPAY;;NON PAYMENT
;;637;;BAL DOES NOT EXCEED DEDUCTIBLE;;NON PAYMENT
;;638;;PROVIDER NOT IN NETWORK;;NON PAYMENT
;;639;;SRVCS DENIED PRECERT RQSTD;;NON PAYMENT
;;640;;NOT MEDICALLY NECESSARY-ER/URG;;NON PAYMENT
;;643;;GRAM-RUDMAN REDUCTION;;NON PAYMENT
;;644;;PROMPT PAY DISCOUNT;;NON PAYMENT
;;645;;OVER CONTRACTED AMOUNT-EXCEED;;NON PAYMENT
;;647;;NON COVERED SERVICE;;PENDING
;;648;;NON COVERED SERVICE-PROCEDURE;;NON PAYMENT
;;653;;NON COVERED SERVICE-RELATIVE;;NON PAYMENT
;;654;;INCORRECT PROVIDER TYPE;;NON PAYMENT
;;655;;NON COVERED SERVICE;;PENDING
;;656;;NON COVERED SERVICE;;PENDING
;;657;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;658;;NON COVERED SERVICE;;PENDING
;;659;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
;;660;;NON COVERED SERVICE-OUT/IN;;NON PAYMENT
;;661;;NO PRIOR APPROVAL;;PENDING
;;663;;CORRECTION TO PRIOR CLAIM;;PENDING
;;664;;DENIAL REVERSED PER MED REVIEW;;GENERAL INFORMATION
;;665;;CODING ERROR;;PENDING
;;666;;BLOOD DEDUCTIBLE;;DEDUCTIBLE
;;667;;MAXIMUM BENEFITS-LIFE RES DAYS;;NON PAYMENT
;;669;;DAY OUTLIER AMOUNT;;NON PAYMENT
;;670;;COST OUTLIER ADJUSTMENT;;NON PAYMENT
;;672;;COINSURANCE-DAY;;CO-PAY
;;673;;ADMINISTRATIVE DAYS;;NON PAYMENT
;;674;;INDIRECT MED ED ADJ;;NON PAYMENT
;;675;;DIRECT MED ED ADJ;;NON PAYMENT
;;676;;DISPROPORTIONATE SHARE ADJ;;NON PAYMENT
;;677;;COVERED DAYS;;NON PAYMENT
;;678;;NON COVERED SERVICE-NCD/ROOM;;NON PAYMENT
;;679;;COST REPORT DAYS;;NON PAYMENT
;;680;;OUTLIER DAYS;;NON PAYMENT
;;681;;DISCHARGES;;NON PAYMENT
;;682;;PIP DAYS;;NON PAYMENT
;;683;;TOTAL VISITS;;NON PAYMENT
;;684;;CAPITAL ADJUSTMENT;;NON PAYMENT
;;685;;INTEREST AMOUNT;;NON PAYMENT
;;686;;STATUTORY ADJUSTMENT;;NON PAYMENT
;;687;;TRANSFER AMOUNT;;NON PAYMENT
;;688;;PRIOR OVERPAYMENT;;PENDING
;;689;;PROFESSIONAL FEE REMOVED;;NON PAYMENT
;;690;;INGREDIENT COST ADJ;;NON PAYMENT
;;691;;DISPENSING FEE ADJUSTMENT;;WRITE OFF
;;692;;CLAIM PAID IN FULL;;GENERAL INFORMATION
;;693;;NO CLAIM LEVEL ADJUSTMENTS;;GENERAL INFORMATION
;;694;;PROCESSED IN EXCESS OF CHARGES;;GROUPER ALLOWANCE
;;695;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
;;696;;NON COVERED SERVICE-CHARGE;;NON PAYMENT
;;698;;OTHER PRIMARY COVERAGE;;PENDING
;;697;;BUNDLED TO ANOTHER PROCEDURE;;NON PAYMENT
;;699;;OTHER PRIMARY COVERAGE-MCR SEC;;NON PAYMENT
;;701;;PREDETERMINATION;;PENDING
;;702;;MAJOR MEDICAL ADJ;;NON PAYMENT
;;703;;PROVIDER PROMO DISCOUNT;;NON PAYMENT
;;704;;OVER CONTRACTED AMOUNT-MG CARE;;NON PAYMENT
;;705;;TAX WITHHOLDING;;NON PAYMENT
;;706;;PT PYMT OPTION/ELECT NOT EFFCT;;NON PAYMENT
;;707;;MISSING DATA;;PENDING
;;708;;PYMT REDUCED-GUIDELINES;;NON PAYMENT
;;709;;ELIGIBILITY DENIED;;NON PAYMENT
;;710;;BILLING DATE PRECEDES DOS;;PENDING
;;711;;NON COVERED SERVICE-PRV ACCEPT;;NON PAYMENT
;;713;;NON COVERED SERVICE-OUT US/WAR;;NON PAYMENT
;;714;;NOT APPROVED BY FDA;;NON PAYMENT
;;715;;NON COVERED SERVICE-CNCL/POST;;NON PAYMENT
;;716;;INFO NOT RECEIVED/SUFFICIENT;;NON PAYMENT
;;717;;NON COVERED SERVICE-TRANSPORT;;NON PAYMENT
;;718;;NON COVERED SERVICE-ESRD;;NON PAYMENT
;;719;;MAXIMUM BENEFITS-FOR TIME PER;;NON PAYMENT
;;720;;OTHER PRIMARY COVERAGE-MG CARE;;NON PAYMENT
;;721;;INDEMNIFICATION ADJ;;NON PAYMENT
;;722;;PSYCHIATRIC REDUCTION;;NON PAYMENT
;;723;;PAYER REFUND DUE TO OVERPAYMNT;;GENERAL INFORMATION
;;724;;PAYER REFUND AMT-NOT OUTPAT;;GENERAL INFORMATION
;;725;;PYMT ADJ DUE TO BILLING ERRORS;;PENDING
;;726;;DEDUCTIBLE-MAJOR MEDICAL;;DEDUCTIBLE
;;727;;COINSURANCE-MAJOR MEDICAL;;CO-PAY
;;728;;OTHER PRIMARY COVERAGE-NEWBORN;;NON PAYMENT
;;730;;PROCESSING FEE-CLAIM SUBMIT;;NON PAYMENT
;;731;;PROCESSING FEE-DISCOUNT;;NON PAYMENT
;;732;;PRE-DEMO PROJECT ADJ;;NON PAYMENT
;;733;;PENDING FURTHER REVIEW;;PENDING
;;734;;NON COVERED SERVICE-TECH FEE;;NON PAYMENT
;;735;;DENIED DO NOT PROC INTRM BILL;;NON PAYMENT
;;736;;PRIOR PAYER P&P NOT FOLLOWED;;NON PAYMENT
;;738;;APPEAL PROCEDURES NOT FOLLOWED;;NON PAYMENT
;;739;;OVER CONTRACTED AMOUNT-EMPLOYEE;;NON PAYMENT
;;740;;PAT ID# & NAME DON'T MATHCH;;PENDING
;;742;;OVER CONTRACTED AMOUNT-MCD PAT;;NON PAYMENT
;;743;;PORTION OF PAYMENT DEFERRED;;PENDING
;;744;;INCENTIVE ADJUSTMENT;;NON PAYMENT
;;800;;PATIENT REFUND AMOUNT;;REFUND
;;801;;CLAIM DENIED CHARGES;;NON PAYMENT
;;802;;OVER CONTRACTED AMOUNT-CTR ADJ;;NON PAYMENT
;;803;;MSP LIABILITY MET;;NON PAYMENT
;;804;;MEDICARE CLAIM PPS DAY OUTLIER;;NON PAYMENT
;;805;;MCR CLAIM PPS COST OUTLIER;;NON PAYMENT
;;806;;PRIOR HOSP/30 DAY TRF;;NON PAYMENT
;;807;;PRESUMPTIVE PYMT ADJUSTMENT;;NON PAYMENT
;;808;;UNGROUPABLE DRG;;NON PAYMENT
;;851;;NON COVERED SERVICE-VISIT;;NON PAYMENT
;;852;;NON-COVERED VISITS;;NON PAYMENT
;;853;;COVERED CHARGES;;NON PAYMENT
;;854;;LATE FILING PENALTY;;PENALTY
;;855;;GUIDELINES NOT MET/EXCEEDED;;NON PAYMENT
;;856;;INCORRECT PROVIDER TYPE;;NON PAYMENT
;;857;;INCORRECT PROVIDER TYPE;;NON PAYMENT
;;858;;OTHER PRIMARY COVERAGE-ALT SVC;;NON PAYMENT
;;859;;NON COVERED SERVICE-HOSPICE;;NON PAYMENT
;;860;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
;;861;;OTHER PRIMARY COVERAGE-NOT COV;;NON PAYMENT
;;862;;SERVICES NOT DOCUMENTED IN MR;;PENDING
;;863;;PAYMT MADE IN PREV PAYMENT;;PENDING
;;864;;NON COVERED SERVICE-ONE/DAY;;NON PAYMENT
;;865;;NON COVERED SERVICE-NOT PD SEP;;NON PAYMENT
;;866;;"NEW PT" QUALIFICATION NOT MET;;PENDING
;;867;;NOT PRESCR BY MD, RX INCOMPLET;;NON PAYMENT
;;868;;PROC CODE/MODIFIER INVALID;;PENDING
;;869;;NOT MEDICALLY NECESSARY-RV FND;;NON PAYMENT
;;870;;INCORRECT PROVIDER TYPE;;NON PAYMENT
;;871;;INCORRECT PROVIDER TYPE;;NON PAYMENT
;;872;;AJDUSTED BASED ON DIAGNOSIS;;PENDING
;;873;;PROVIDER FAIL PROFICIENCY TEST;;PENDING
;;901;;LEVEL SUBLUXATION INADEQUATE;;PENDING
;;902;;CLAIM LACKS DRUG INFORMATION;;PENDING
;;903;;INFO ON PAT EQUIPMENT MISSING;;PENDING
;;904;;PERIOD OF TIME MISSING;;PENDING
;;905;;CODING ERROR;;PENDING
;;906;;MISSING FIELD;;PENDING
;;907;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;908;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;909;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;910;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;911;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;912;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
;;913;;FINANCIAL INTEREST-DOCTOR;;PENDING
;;914;;DOCUMENTATION REQUIRED;;PENDING
;;915;;DOCUMENTATION REQUIRED;;NON PAYMENT
;;END
BARADJR ; IHS/SD/LSL - CREATE ENTRY IN A/R EDI STND CLAIM ADJ REASON ;
+1 ;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005
+2 ;
+3 ; IHS/SD/LSL - 08/01/2002 - V1.6 Patch 3
+4 ; For HIPAA compliance. Populate A/R EDI STND CLAIM ADJ REASON
+5 ; File with mapping to RPMS
+6 ;
+7 ; *********************************************************************
ENTRY ;
+1 ; Create entry
+2 SET BARD=";;"
+3 SET BARCNT=0
+4 FOR
DO EN2
IF BARVALUE="END"
QUIT
+5 DO ^BARVKL0
+6 QUIT
+7 ; ********************************************************************
EN2 ;
+1 SET BARCNT=BARCNT+1
+2 SET BARVALUE=$PIECE($TEXT(@1+BARCNT),BARD,2,5)
+3 IF BARVALUE="END"
QUIT
+4 KILL DIC,DA,X,Y
+5 SET DIC="^BARTBL("
+6 SET DIC(0)="LZE"
+7 SET DINUM=$PIECE(BARVALUE,BARD)
+8 SET X=$PIECE(BARVALUE,BARD,2)
+9 SET DIC("DR")="2///^S X=$P(BARVALUE,BARD,3)"
+10 KILL DD,DO
+11 DO FILE^DICN
+12 QUIT
+13 ; *********************************************************************
+14 ; IEN;;NAME;;TABLE TYPE;;ACRONYM
+15 ; *********************************************************************
1 ;;
+1 ;;602;;COINSURANCE;;CO-PAY
+2 ;;604;;CODING ERROR;;PENDING
+3 ;;605;;CODING ERROR;;PENDING
+4 ;;606;;CODING ERROR;;PENDING
+5 ;;607;;CODING ERROR;;PENDING
+6 ;;608;;CODING ERROR;;PENDING
+7 ;;609;;CODING ERROR;;PENDING
+8 ;;610;;CODING ERROR;;PENDING
+9 ;;611;;CODING ERROR;;PENDING
+10 ;;612;;CODING ERROR;;PENDING
+11 ;;613;;DEATH PRECEDES DOS;;PENDING
+12 ;;614;;BIRTH FOLLOWS DOS;;PENDING
+13 ;;615;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+14 ;;616;;MISSING DATA;;PENDING
+15 ;;617;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+16 ;;619;;OTHER TPL;;PENDING
+17 ;;620;;OTHER TPL;;PENDING
+18 ;;621;;OTHER TPL;;PENDING
+19 ;;622;;OTHER PRIMARY COVERAGE;;PENDING
+20 ;;623;;OTHER PRIMARY COVERAGE-OTH PAY;;NON PAYMENT
+21 ;;624;;OVER CONTRACTED AMOUNT-CAP;;NON PAYMENT
+22 ;;625;;STOP LOSS DEDUCT NOT MET;;NON PAYMENT
+23 ;;626;;OUTSIDE COVERAGE DATES-PRIOR;;NON PAYMENT
+24 ;;627;;OUTSIDE COVERAGE DATES-AFTER;;NON PAYMENT
+25 ;;628;;OUTSIDE COVERAGE DATES-COV/DOS;;NON PAYMENT
+26 ;;630;;PAT NOT MET REQD REQMNTS;;NON PAYMENT
+27 ;;632;;NO ELIG. FOUND-DEP NOT ELIG;;NON PAYMENT
+28 ;;633;;NO ELIG. FOUND-NO DEP COV;;NON PAYMENT
+29 ;;636;;BAL DOES NOT EXCEED COPAY;;NON PAYMENT
+30 ;;637;;BAL DOES NOT EXCEED DEDUCTIBLE;;NON PAYMENT
+31 ;;638;;PROVIDER NOT IN NETWORK;;NON PAYMENT
+32 ;;639;;SRVCS DENIED PRECERT RQSTD;;NON PAYMENT
+33 ;;640;;NOT MEDICALLY NECESSARY-ER/URG;;NON PAYMENT
+34 ;;643;;GRAM-RUDMAN REDUCTION;;NON PAYMENT
+35 ;;644;;PROMPT PAY DISCOUNT;;NON PAYMENT
+36 ;;645;;OVER CONTRACTED AMOUNT-EXCEED;;NON PAYMENT
+37 ;;647;;NON COVERED SERVICE;;PENDING
+38 ;;648;;NON COVERED SERVICE-PROCEDURE;;NON PAYMENT
+39 ;;653;;NON COVERED SERVICE-RELATIVE;;NON PAYMENT
+40 ;;654;;INCORRECT PROVIDER TYPE;;NON PAYMENT
+41 ;;655;;NON COVERED SERVICE;;PENDING
+42 ;;656;;NON COVERED SERVICE;;PENDING
+43 ;;657;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+44 ;;658;;NON COVERED SERVICE;;PENDING
+45 ;;659;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
+46 ;;660;;NON COVERED SERVICE-OUT/IN;;NON PAYMENT
+47 ;;661;;NO PRIOR APPROVAL;;PENDING
+48 ;;663;;CORRECTION TO PRIOR CLAIM;;PENDING
+49 ;;664;;DENIAL REVERSED PER MED REVIEW;;GENERAL INFORMATION
+50 ;;665;;CODING ERROR;;PENDING
+51 ;;666;;BLOOD DEDUCTIBLE;;DEDUCTIBLE
+52 ;;667;;MAXIMUM BENEFITS-LIFE RES DAYS;;NON PAYMENT
+53 ;;669;;DAY OUTLIER AMOUNT;;NON PAYMENT
+54 ;;670;;COST OUTLIER ADJUSTMENT;;NON PAYMENT
+55 ;;672;;COINSURANCE-DAY;;CO-PAY
+56 ;;673;;ADMINISTRATIVE DAYS;;NON PAYMENT
+57 ;;674;;INDIRECT MED ED ADJ;;NON PAYMENT
+58 ;;675;;DIRECT MED ED ADJ;;NON PAYMENT
+59 ;;676;;DISPROPORTIONATE SHARE ADJ;;NON PAYMENT
+60 ;;677;;COVERED DAYS;;NON PAYMENT
+61 ;;678;;NON COVERED SERVICE-NCD/ROOM;;NON PAYMENT
+62 ;;679;;COST REPORT DAYS;;NON PAYMENT
+63 ;;680;;OUTLIER DAYS;;NON PAYMENT
+64 ;;681;;DISCHARGES;;NON PAYMENT
+65 ;;682;;PIP DAYS;;NON PAYMENT
+66 ;;683;;TOTAL VISITS;;NON PAYMENT
+67 ;;684;;CAPITAL ADJUSTMENT;;NON PAYMENT
+68 ;;685;;INTEREST AMOUNT;;NON PAYMENT
+69 ;;686;;STATUTORY ADJUSTMENT;;NON PAYMENT
+70 ;;687;;TRANSFER AMOUNT;;NON PAYMENT
+71 ;;688;;PRIOR OVERPAYMENT;;PENDING
+72 ;;689;;PROFESSIONAL FEE REMOVED;;NON PAYMENT
+73 ;;690;;INGREDIENT COST ADJ;;NON PAYMENT
+74 ;;691;;DISPENSING FEE ADJUSTMENT;;WRITE OFF
+75 ;;692;;CLAIM PAID IN FULL;;GENERAL INFORMATION
+76 ;;693;;NO CLAIM LEVEL ADJUSTMENTS;;GENERAL INFORMATION
+77 ;;694;;PROCESSED IN EXCESS OF CHARGES;;GROUPER ALLOWANCE
+78 ;;695;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
+79 ;;696;;NON COVERED SERVICE-CHARGE;;NON PAYMENT
+80 ;;698;;OTHER PRIMARY COVERAGE;;PENDING
+81 ;;697;;BUNDLED TO ANOTHER PROCEDURE;;NON PAYMENT
+82 ;;699;;OTHER PRIMARY COVERAGE-MCR SEC;;NON PAYMENT
+83 ;;701;;PREDETERMINATION;;PENDING
+84 ;;702;;MAJOR MEDICAL ADJ;;NON PAYMENT
+85 ;;703;;PROVIDER PROMO DISCOUNT;;NON PAYMENT
+86 ;;704;;OVER CONTRACTED AMOUNT-MG CARE;;NON PAYMENT
+87 ;;705;;TAX WITHHOLDING;;NON PAYMENT
+88 ;;706;;PT PYMT OPTION/ELECT NOT EFFCT;;NON PAYMENT
+89 ;;707;;MISSING DATA;;PENDING
+90 ;;708;;PYMT REDUCED-GUIDELINES;;NON PAYMENT
+91 ;;709;;ELIGIBILITY DENIED;;NON PAYMENT
+92 ;;710;;BILLING DATE PRECEDES DOS;;PENDING
+93 ;;711;;NON COVERED SERVICE-PRV ACCEPT;;NON PAYMENT
+94 ;;713;;NON COVERED SERVICE-OUT US/WAR;;NON PAYMENT
+95 ;;714;;NOT APPROVED BY FDA;;NON PAYMENT
+96 ;;715;;NON COVERED SERVICE-CNCL/POST;;NON PAYMENT
+97 ;;716;;INFO NOT RECEIVED/SUFFICIENT;;NON PAYMENT
+98 ;;717;;NON COVERED SERVICE-TRANSPORT;;NON PAYMENT
+99 ;;718;;NON COVERED SERVICE-ESRD;;NON PAYMENT
+100 ;;719;;MAXIMUM BENEFITS-FOR TIME PER;;NON PAYMENT
+101 ;;720;;OTHER PRIMARY COVERAGE-MG CARE;;NON PAYMENT
+102 ;;721;;INDEMNIFICATION ADJ;;NON PAYMENT
+103 ;;722;;PSYCHIATRIC REDUCTION;;NON PAYMENT
+104 ;;723;;PAYER REFUND DUE TO OVERPAYMNT;;GENERAL INFORMATION
+105 ;;724;;PAYER REFUND AMT-NOT OUTPAT;;GENERAL INFORMATION
+106 ;;725;;PYMT ADJ DUE TO BILLING ERRORS;;PENDING
+107 ;;726;;DEDUCTIBLE-MAJOR MEDICAL;;DEDUCTIBLE
+108 ;;727;;COINSURANCE-MAJOR MEDICAL;;CO-PAY
+109 ;;728;;OTHER PRIMARY COVERAGE-NEWBORN;;NON PAYMENT
+110 ;;730;;PROCESSING FEE-CLAIM SUBMIT;;NON PAYMENT
+111 ;;731;;PROCESSING FEE-DISCOUNT;;NON PAYMENT
+112 ;;732;;PRE-DEMO PROJECT ADJ;;NON PAYMENT
+113 ;;733;;PENDING FURTHER REVIEW;;PENDING
+114 ;;734;;NON COVERED SERVICE-TECH FEE;;NON PAYMENT
+115 ;;735;;DENIED DO NOT PROC INTRM BILL;;NON PAYMENT
+116 ;;736;;PRIOR PAYER P&P NOT FOLLOWED;;NON PAYMENT
+117 ;;738;;APPEAL PROCEDURES NOT FOLLOWED;;NON PAYMENT
+118 ;;739;;OVER CONTRACTED AMOUNT-EMPLOYEE;;NON PAYMENT
+119 ;;740;;PAT ID# & NAME DON'T MATHCH;;PENDING
+120 ;;742;;OVER CONTRACTED AMOUNT-MCD PAT;;NON PAYMENT
+121 ;;743;;PORTION OF PAYMENT DEFERRED;;PENDING
+122 ;;744;;INCENTIVE ADJUSTMENT;;NON PAYMENT
+123 ;;800;;PATIENT REFUND AMOUNT;;REFUND
+124 ;;801;;CLAIM DENIED CHARGES;;NON PAYMENT
+125 ;;802;;OVER CONTRACTED AMOUNT-CTR ADJ;;NON PAYMENT
+126 ;;803;;MSP LIABILITY MET;;NON PAYMENT
+127 ;;804;;MEDICARE CLAIM PPS DAY OUTLIER;;NON PAYMENT
+128 ;;805;;MCR CLAIM PPS COST OUTLIER;;NON PAYMENT
+129 ;;806;;PRIOR HOSP/30 DAY TRF;;NON PAYMENT
+130 ;;807;;PRESUMPTIVE PYMT ADJUSTMENT;;NON PAYMENT
+131 ;;808;;UNGROUPABLE DRG;;NON PAYMENT
+132 ;;851;;NON COVERED SERVICE-VISIT;;NON PAYMENT
+133 ;;852;;NON-COVERED VISITS;;NON PAYMENT
+134 ;;853;;COVERED CHARGES;;NON PAYMENT
+135 ;;854;;LATE FILING PENALTY;;PENALTY
+136 ;;855;;GUIDELINES NOT MET/EXCEEDED;;NON PAYMENT
+137 ;;856;;INCORRECT PROVIDER TYPE;;NON PAYMENT
+138 ;;857;;INCORRECT PROVIDER TYPE;;NON PAYMENT
+139 ;;858;;OTHER PRIMARY COVERAGE-ALT SVC;;NON PAYMENT
+140 ;;859;;NON COVERED SERVICE-HOSPICE;;NON PAYMENT
+141 ;;860;;OVER ALLOWABLE AMOUNT;;NON PAYMENT
+142 ;;861;;OTHER PRIMARY COVERAGE-NOT COV;;NON PAYMENT
+143 ;;862;;SERVICES NOT DOCUMENTED IN MR;;PENDING
+144 ;;863;;PAYMT MADE IN PREV PAYMENT;;PENDING
+145 ;;864;;NON COVERED SERVICE-ONE/DAY;;NON PAYMENT
+146 ;;865;;NON COVERED SERVICE-NOT PD SEP;;NON PAYMENT
+147 ;;866;;"NEW PT" QUALIFICATION NOT MET;;PENDING
+148 ;;867;;NOT PRESCR BY MD, RX INCOMPLET;;NON PAYMENT
+149 ;;868;;PROC CODE/MODIFIER INVALID;;PENDING
+150 ;;869;;NOT MEDICALLY NECESSARY-RV FND;;NON PAYMENT
+151 ;;870;;INCORRECT PROVIDER TYPE;;NON PAYMENT
+152 ;;871;;INCORRECT PROVIDER TYPE;;NON PAYMENT
+153 ;;872;;AJDUSTED BASED ON DIAGNOSIS;;PENDING
+154 ;;873;;PROVIDER FAIL PROFICIENCY TEST;;PENDING
+155 ;;901;;LEVEL SUBLUXATION INADEQUATE;;PENDING
+156 ;;902;;CLAIM LACKS DRUG INFORMATION;;PENDING
+157 ;;903;;INFO ON PAT EQUIPMENT MISSING;;PENDING
+158 ;;904;;PERIOD OF TIME MISSING;;PENDING
+159 ;;905;;CODING ERROR;;PENDING
+160 ;;906;;MISSING FIELD;;PENDING
+161 ;;907;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+162 ;;908;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+163 ;;909;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+164 ;;910;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+165 ;;911;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+166 ;;912;;INFO NOT RECEIVED/SUFFICIENT;;PENDING
+167 ;;913;;FINANCIAL INTEREST-DOCTOR;;PENDING
+168 ;;914;;DOCUMENTATION REQUIRED;;PENDING
+169 ;;915;;DOCUMENTATION REQUIRED;;NON PAYMENT
+170 ;;END
