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ESF – A non-encounter service claim submitted by a physician not eligible to bill FSC codes

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Background:

This rejection means you are not registered to bill Fee-for-Services codes on that date of service.

Solution:

Confirm you have billed the correct service date in the claim. Alternatively, if you were associated with a billing group at the time of service, it is likely that you will need to process the billing through the AFP, as you are not eligible for fee-for-service billings outside the AFP at the time of service.

 

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