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EOB Crosswalk PAPER EOB Code DescriptionELECTRONIC Remark CodeRemark DescriptionAdjustment ReasonAdjustment Description18EXACT DUPLICATE CLAIM/SERVICE (USE ONLY WITH GROUP CODE OA EXCEPT WHERE STATE
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How to fill out exact duplicate claimservice use
How to fill out exact duplicate claimservice use
01
Fill out the claim form with accurate information
02
Include all necessary supporting documents such as receipts or invoices
03
Check for any duplicate claims already submitted
04
Submit the completed claim form and supporting documents to the appropriate department
Who needs exact duplicate claimservice use?
01
Individuals or organizations who have incurred expenses that are eligible for reimbursement and need to submit a claim for reimbursement
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What is exact duplicate claimservice use?
Exact duplicate claimservice use refers to filing a claim that is an exact duplicate of an already submitted claim for the same service.
Who is required to file exact duplicate claimservice use?
Providers or entities who accidentally submit an exact duplicate claim for the same service are required to file exact duplicate claimservice use.
How to fill out exact duplicate claimservice use?
To fill out exact duplicate claimservice use, providers need to indicate that the claim is an exact duplicate and include the original claim number.
What is the purpose of exact duplicate claimservice use?
The purpose of exact duplicate claimservice use is to inform the payer that the claim being submitted is an exact copy of a claim previously submitted for the same service.
What information must be reported on exact duplicate claimservice use?
Providers must report the original claim number and indicate that the claim is an exact duplicate.
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