Family Planning Denied Claims for APRNs, CR30384

February 12, 2013

Family Planning Denied Claims for APRNs, CR30384 Some claims for Family Planning providers have been denying inappropriately for invalid diagnosis (edit 330). The system has been updated to process these claims.

The CARC associated with this edit is: 11 - The diagnosis is inconsistent with the procedure.

Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

The system has been updated and claims are being reprocessed. No provider action is needed.