Skip to Main Content

Print | Bookmark | Email | Font Size: + |

Top Claim Submission Errors for Hospice Providers: Error U5106

Reason for error: Hospice elections and benefit periods are posted to the Common Working File (CWF) when notice of elections (NOEs) and/or claims are processed. When another hospice NOE is submitted that overlaps the election/benefit period posted to CWF, including a duplicate NOE, the NOE will receive this reason code.

Claim processing result: Return to Provider (RTP)

How to prevent/resolve:

  • Ensure that the NOE you are submitting is not a duplicate of a previously submitted/processed NOE. Use FISS Option 12 to check for previously submitted NOEs. Refer to the FISS DDE Guide, Chapter Three: Inquiry MenuPDF for information about Option 12.
  • Before submitting an NOE (81A or 82A), review the beneficiary's hospice benefit periods on ELGH Page 19 or ELGA Page 18. Ensure the Admit Date on the NOE you are submitting does not fall within the START DATE and TERM DATE of the benefit period on ELGH/ELGA. Refer to the FISS DDE Guide, Chapter Two: Checking Beneficiary EligibilityPDF for information about ELGH/ELGA.

    Screenshot

Posted: 10.31.18

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved