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WARNING: INVALID DIAGNOSIS CODE QUALIFIER PER PAYER REQUIREMENTS

Rejection Message Rejection Details Resolution

WARNING: INVALID DIAGNOSIS CODE QUALIFIER PER PAYER REQUIREMENTS. 2300.HI*01-1
WARNING: INVALID DIAGNOSIS CODE QUALIFIER PER PAYER REQUIREMENTS. 2300.HI*02-1
WARNING: INVALID DIAGNOSIS CODE QUALIFIER PER PAYER REQUIREMENTS. 2300.HI*03-1
WARNING: INVALID DIAGNOSIS CODE QUALIFIER PER PAYER REQUIREMENTS. 2300.HI*04-1

This is not a claim rejection but rather a warning message from the clearinghouse.

Directions for the TriZetto:

The client is sending the claim via paper, and paper claims bump up against our 4010 edits. The claim is being sent on a 5010 ANSI file, which is why you're getting a warning.

This claim was mailed to the payer, and no further action needs to be taken.

There are no resolution steps within Kareo. 

Please reach out to the payer directly for a status update as needed.