Reason Code 38050

Published 01/11/2018

FISS Narrative
This home health claim is an exact duplicate of a previously submitted home health claim.

Explanation and Suggestion
This is one of several reason codes that indicates that a duplicate claim has been received in the Medicare claims system (FISS). We encourage you to track submitted claims.

  • Reason code 38050 indicates the claim is an exact duplicate of a previously submitted claim
  • Paid claims may only be canceled or adjusted. Claims denied by medical review may only be appealed.
  • Two job aids are available to assist providers with determining whether a claim should be adjusted, canceled or appealed. The job aids are located on the Palmetto GBA website under Top Links.   
  • Please notify software vendors if necessary

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