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Top Claim Submission Errors for Home Health Providers: Error U538I

Reason for error: A home health RAP or claim overlaps an existing episode with a different provider number. This error most commonly occurs when a beneficiary elects to transfer from one HHA to another during a 60 day episode and the receiving HHA submits their initial episode RAP/claim without a condition code 47 to indicate a transfer between HHAs.

Claim processing result: Return to Provider (RTP)

How to prevent/resolve:

Additional Resources

Updated: 10.24.18


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