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POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

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Top Claim Submission Errors for Home Health Providers: Error 31755

Reason for error:

One line item date of service (LIDOS) must match the date of service (DOS) billed on the 0023 revenue line, OR
When the "FROM" date and the "ADMIT" date" are equal, the DOS billed with the 0023 revenue line must also match.

Claim processing result: Return to Provider (RTP)

How to prevent/resolve:

Start of Care RAPs and Final Claims:

Check "STMT DATES FROM" date (FL 6) and "ADMIT DATE" (FL 12) fields on FISS Page 01.
If the dates are equal, check the "SERV DATE" field (FL 45) on the 0023 revenue line on FISS Page 02. The date in this field on this line must be the same as the date in FL 6 and FL 12 AND must reflect the date of the first visit in the episode.

FISS Page 01

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