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The Claim Search feature allows you to use different data elements of a claim such as the Claim ID, Member ID and date of service to locate claims for a particular member or date of service. It is important to note that the Claim Search Results will break claims into different sub queues according to their status within the workflow. Statuses are NEW, SUBMITTED and VALIDATION ERROR. You can also use the Claim search function to search for claims by network status.
| Remark Code | Reason |
|---|---|
| 05 | Duplicate Claim Already In Process |
| 07 | These Charges Are For Services Provided After This Patient's Coverage Was Cancelled |
| DN | Charges Submitted Show an Incorrect Date of Service and/or Patient Name |
| N2 | You Have Reached The Maximum Basic Benefit Amount Allowed By Your Plan |
| NI | Out of Network Claim To Be Processed By NFG |
| WW | These Charges Are Covered By Patient's Other Insurance |
| 06 | These Charges Are For Services Received Before The Effective Date Of This Patient's Coverage |
| NX | Patient Paid In Full |
| B6 | Policy Under Review |
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