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Visit Edit Reason Codes

Code

Description

200

Phone number did not link to the Member

201

Member won't let attendant use phone

202

Member doesn't have a phone in home

203

Phone in use by Member or individual in Member's home

204

Member received services outside of the home

205

Member's phone line not working (technical issue or natural disaster)

206

Member requested to change/cancel scheduled visit; or the scheduled visit has been cancelled due to the

Member’s services being suspended

207

Address did not link to the Member (GPS)

208

Attendant failed to call in

209

Attendant failed to call out

210

Attendant failed to call in and out

211

Attendant called in to or out of the EVV system early or late

212

Attendant's identification number (s) does not match the scheduled shift or task discrepancy/task does not match plan of care

213

Attendant entered invalid fixed location device code(s)

214

Attendant failed to report to Member’s home

215

Fixed location device on order or pending placement in the home

216

Fixed location device malfunctioned

217

Attendant unable to use mobile device

218

Attendant unable to connect to internet or EVV system down

219

Data Entry Error

220

Agency unable to provide replacement coverage (no show, no replacement)

221

Timesheet Received

222

Other

Visit Edit Action Taken

Code

Description

11

Confirmed visit with outside entity and documented

12

Confirmed with the Member or the Member’s family member/representative and documented (this service cannot

be billed)

13

New attendant assigned to Member

14

Visit rescheduled

15

Service(s) cancelled or suspended until further notice

16

Updated Member’s address and documented

17

Updated Member’s phone number and documented

18

Changed verification collection method and documented

19

Timesheet received and signed by supervisor

20

Mutual Case/ or Cluster Case/ or Live-in Case

21

Change in schedule

22

Unverified visit; this service cannot be billed

23

Supervisor approved change

24

Timesheet Verified

25

Other

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