Medicaid Claim Adjustment Reason Code:31
Medicaid Remittance Advice Remark Code:N245
MMIS EOB Code:129
We were unable to convert the Medicare recipient number on this crossover claim to a valid Medicaid recipient number. Please resubmit these charges on a paper claim with valid Medicaid values and a copy of the Medicare EOB attached. Also, if you see this patient frequently, please contact the local office of human services to have the patient's Medicare number corrected on the Medicaid file.
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