Duplicate Claims Rejected with Reason Code 38200 This is a reminder that providers should not be submitting duplicate claims to Medicare. The incoming claim will be rejected for reason code 38200, claims are considered duplicate when:
Data analysis shows there was a high occurrence of claims rejected with reason code 38200, from April 2005 through November 2005. Claims reject with reason code 38200 because the incoming claim is an exact duplicate of a claim that is on the history file. In some cases there are two exact claims submitted on the same day or within a few days of each other. If there were two claims submitted on the same day, both of those claims will be rejected. Providers can resubmit one of those claims for processing. As part of their internal process, providers should be checking with their accounts receivable department to ensure that their Medicare payments are posted correctly. This will ensure that a claim is not submitted if it was already paid. In effort to reduce the occurrence of this reason code, providers are being asked to look at the claims they are submitting to Medicare and put measures in place to ensure that duplicate claims are not being submitted.
- HIC Number Verify the information billed and resubmit, if appropriate. If multiple ambulance transports from the same point of pick-up zip code, submit electronic adjustment using the finalized ambulance claim. Enter Condition Code D9 and remarks “multiple transports same day.” |
