Determine the issue that claim adjustment reason code

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Reference no: EM132248120

Remittance Advice

The following claim for S. Smith, a 10-year-old that had a tonsillectomy on 5/8/17 was billed with the following information on 5/12/17:

S. Smith

123 New Road

Bridgeville, OH 44556

DOB 6/12/1950

CPT Code 42825

Claim adjustment reason code (CARC) 6 returned on the remittance advice to indicate the procedure was not paid.

Determine the issue that the CARC identifies and what steps must be taken to correct it.

Reference no: EM132248120

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