The Palmetto GBA Jurisdiction M Provider Contact Center (PCC) will be closed Monday, May 26, 2025, in observance of the Memorial Day holiday. During this closure, providers can use Sage, Palmetto GBA's chat self-service tool.

Reason Code 38001

Published 04/26/2024

Description
This inpatient claim contains dates of service that equal/overlap an inpatient claim. The system will auto-reject the claim with 38001.

Resolution
If the previously claim was denied with Reason Code 56900 (no medical records received), a reopen can be requested. If the previously claim was medically denied, an appeal can be requested. There is a 60-day time limit from the original denial date for requesting an appeal if the previous claim processed, an adjustment (xx7) must be done to make changes. 

References

 


Was this article helpful?