Reverse Crosswalk of Diamond/HIPAA Reason Codes |
HIPAA Reason Code |
HIPAA Remark Code |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
Diamond Reason Code(type) |
| 2 |
|
00%SF (CP) |
05%SF (CP) |
10%SF (CP) |
100%F (CP) |
15%SF (CP) |
20%SF (CP) |
25%SF (CP) |
| 2 |
|
30%SF (CP) |
35%SF (CP) |
40%SF (CP) |
45%SF (CP) |
50%SF (CP) |
55%SF (CP) |
60%SF (CP) |
| 2 |
|
65%SF (CP) |
70%SF (CP) |
75%SF (CP) |
80%SF (CP) |
85%SF (CP) |
90%SF (CP) |
95%SF (CP) |
| 2 |
|
CIOOP (CP) |
COINS (CP) |
|
|
|
|
|
| 3 |
|
COPAY (CP) |
CPPCP (CP) |
FF10 (CP) |
FF100 (CP) |
FF125 (CP) |
FF15 (CP) |
FF150 (CP) |
| 3 |
|
FF175 (CP) |
FF200 (CP) |
FF225 (CP) |
FF25 (CP) |
FF250 (CP) |
FF5 (CP) |
FF50 (CP) |
| 3 |
|
FF75 (CP) |
MCDDF (CP) |
VERIF (CP) |
missing (CP) |
|
|
|
| 4 |
|
INVPC (NC) |
MODFM (NC) |
PCMNR (AL) |
PCMNV (AL) |
PCMOD (AL) |
|
|
| 13 |
|
MBDEC (AL) |
MBDEC (NC) |
|
|
|
|
|
| 15 |
|
AUTHC (NC) |
AUTHD (NC) |
|
|
|
|
|
| 15 |
M62 |
ADAUT (AD) |
NOAUT (AL) |
NOAUT (NC) |
|
|
|
|
| 16 |
MA130 |
MEDEF (NC) |
|
|
|
|
|
|
| 16 |
MA63 |
DXMIS (NC) |
|
|
|
|
|
|
| 17 |
M53 |
NOQTY (NC) |
|
|
|
|
|
|
| 18 |
|
DUPLY (NC) |
DUPOP (AL) |
MCDDU (AD) |
MCDDU (NC) |
NONDU (AD) |
NONDU (NC) |
|
| 22 |
|
E (OC) |
F (OC) |
L (OC) |
P (OC) |
R (OC) |
S (OC) |
X (OC) |
| 23 |
|
2 (OC) |
3 (OC) |
4 (OC) |
5 (OC) |
6 (OC) |
9 (OC) |
90W (CP) |
| 23 |
|
ADWSA (AD) |
NEGPA (AD) |
NEGPA (NC) |
|
|
|
|
| 23 |
MA67 |
NONTP (AD) |
NONTP (NC) |
MCDTP (AD) |
MCDTP (NC) |
|
|
|
| 23 |
MA92 |
ADCOB (AD) |
|
|
|
|
|
|
| 26 |
|
MBRIN (AL) |
|
|
|
|
|
|
| 29 |
|
MCDYO (AD) |
MCDYO (NC) |
NONYO (AD) |
NONYO (NC) |
STATE (NC) |
|
|
| 38 |
|
OOCTY (NC) |
|
|
|
|
|
|
| 42 |
|
PCFSC (AL) |
|
|
|
|
|
|
| 45 |
|
INFOR (AL) |
IPCAR (AL) |
LMRWJ (NC) |
MARP (AL) |
PCCNV (AL) |
PCCRT (AL) |
PCPDM (AL) |
| 45 |
|
PCTBI (AL) |
PERD1 (AL) |
PERD4 (AL) |
RWJCF (AD) |
RWJFC (AD) |
SPLUC (AL) |
|
| 96 |
N30 |
NCSVC (NC) |
NCSVC (AD) |
missing (NC) |
|
|
|
|
| 119 |
|
LBCLR (NC) |
LMBEN (AD) |
LMBEN (NC) |
LMEAT (NC) |
LMMTH (NC) |
LMOUT (NC) |
LMTRS (NC) |
| 119 |
|
missing (DD) |
|
|
|
|
|
|
| 119 |
M86 |
LMDAY (NC) |
LMPHA (NC) |
LMPHC (NC) |
|
|
|
|
| 119 |
M90 |
LMARP (NC) |
LMDIP (NC) |
|
|
|
|
|
| 125 |
|
missing (OC) |
|
|
|
|
|
|
| 125 |
M52 |
MCDWD (AD) |
MCDWD (NC) |
NONWD (AD) |
NONWD (NC) |
HIPAA (AL) |
PRE04 (AL) |
|
| 125 |
M53 |
MCDUN (AD) |
MCDUN (AL) |
MCDUN (NC) |
NONUN (AD) |
NONUN (AL) |
NONUN (NC) |
|
| 125 |
M54 |
MCDBA (AD) |
MCDBA (AL) |
MCDBA (NC) |
NONBA (AD) |
NONBA (AL) |
NONBA (NC) |
|
| 125 |
MA61 |
MCDWC (AD) |
MCDWC (NC) |
NONWC (AD) |
NONWC (NC) |
|
|
|
| 125 |
MA67 |
ADCOR (AD) |
ADERP (AD) |
ADERR (AD) |
|
|
|
|
| 125 |
MA91 |
ADAPL (AD) |
|
|
|
|
|
|
| 125 |
N10 |
MCDCR (AD) |
MCDCR (NC) |
MCDIA (AD) |
MCDIA (NC) |
NONCR (AD) |
NONCR (NC) |
NONIA (AD) |
| 125 |
N10 |
NONIA (NC) |
|
|
|
|
|
|
| 125 |
N56 |
MCDPR (AD) |
MCDPR (NC) |
NONPR (AD) |
NONPR (NC) |
PCINV (NC) |
|
|
| 125 |
N225 |
MCDSC (AD) |
MCDSC (NC) |
NONSC (AD) |
NONSC (NC) |
|
|
|
| 127 |
N16 |
MAXED (CP) |
MAXED (DD) |
MAXED (NC) |
|
|
|
|
| 138 |
|
NPR30 (AD) |
NPR30 (NC) |
|
|
|
|
|
| 141 |
|
ADMBR (AD) |
|
|
|
|
|
|
| 145 |
|
GRANT (NC) |
|
|
|
|
|
|
| 177 |
|
MCDEL (NC) |
|
|
|
|
|
|
| 182 |
|
MCDMO (AD) |
MCDMO (NC) |
NONMO (AD) |
NONMO (NC) |
|
|
|
| B7 |
|
CLINL (AD) |
CLINL (NC) |
GRPIN (AL) |
PRE2K (AL) |
PRE99 (AL) |
PREGL (AL) |
PRVIN (AL) |
|