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What can I do if I receive Remittance Advice Details (RAD) code 010: Service is a duplicate of a previously paid claim?

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What can I do if I receive Remittance Advice Details (RAD) code 010: Service is a duplicate of a previously paid claim?

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Providers should file an appeal requesting the reimbursed provider’s name and the warrant information. For more information on appeals, Long Term Care, Pharmacy and Vision Care providers should refer to provider manual Section 400-61. Allied Health, Inpatient, Outpatient and Medical Services providers should refer to Appeal Process Overview in the Part 1 manual.

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A. Providers should file an appeal requesting the reimbursed provider’s name and the warrant information. For more information on appeals, Long Term Care, Pharmacy and Vision Care providers should refer to provider manual Section 400-61. Allied Health, Inpatient, Outpatient and Medical Services providers should refer to Appeal Process Overview in the Part 1 manual.

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