Reason Code 15431
Published 05/14/2021
Description
This claim has returned to the provider (RTP) with non-covered charges for revenue code 0001. The sum must be equal to the sum of the non-covered charges for all other revenue codes.
Resolution
Please ensure that the revenue code 0001 sum for the non-covered charges are correct on the claim before returning it to the processing system.
Resource
CMS Internet Only Manual (IOM), Publication 100-4, Medicare Claims Processing Manual.