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Medicaid Claim Adjustment Reason Code:226

Medicaid Remittance Advice Remark Code:N3

MMIS EOB Code:824

There must be at least 30 days between date of recipient signature on the sterilization consent form and the date the sterilization was performed. If premature delivery or emergency abdominal surgery occurred in this case, attach to the claim and consent form medical records signed by the physician which document the medical situation.

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