| | 1 | = Adjustment Reason Codes = |
| | 2 | |
| | 3 | These codes are used to identify the type and source for why the adjustment is needed. |
| | 4 | |
| | 5 | || Adjudication processing error || |
| | 6 | || EDI/Entry error || |
| | 7 | || Contract information loaded Incorrect || |
| | 8 | || Contract- Update information received after effective date of contract || |
| | 9 | || Contract- Incorrect payment percentage applied to claim || |
| | 10 | || Eligibility-Incorrect eligibility information received || |
| | 11 | || Eligibility-Incorrect eligibility information loaded in system || |
| | 12 | || Corrected billing received || |
| | 13 | || Duplicate adjustment request || |
