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purchased service provider identifier. N68 Prior payment being cancelled as we were subsequently notified this patient was covered by a demonstration project in this site of service. Note: New as of 6/04 165 Payment denied /reduced for absence of, or exceeded referral Note: New as of 10/04 166 These services were submitted after this payers responsibility for processing claims under this plan ended. M8 We do not accept blood gas tests results when the test was conducted by a medical supplier or taken while the patient is on oxygen.

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Note: New as of 2/97 129 Payment denied - Prior processing information appears incorrect. MA14 Patient is a member of an employer-sponsored prepaid health plan. 047 This (these) diagnosis(es) is (are) not covered, missing, or are invalid. 35 Lifetime benefit maximum has been reached. Medicaid Claim Denial Codes 34 Note: (New Code 12/2/04) N331 Missing/incomplete/invalid physician order date. Note: Changed as of 2/01 118 Charges reduced for esrd network support. Note: (Modified 6/30/03) N104 This claim/service is not payable under our claims jurisdiction area. M95 Services subjected to Home Health Initiative medical review/cost report audit. 037 Balance does not exceed deductible. It also instructs the patient to contact our office if he/she does not hear anything about a refund within 30 days. Note: (Modified 6/30/03) M19 Missing oxygen Note: (Modified 2/28/03) Related to N234 M20 Missing/incomplete/invalid hcpcs. M5 Monthly rental payments can continue until the earlier of the 15th month from the first rental month, or the month when the equipment is no longer needed.