Disposition Code 54 (Matched to Cross-referenced HICN)

20.3.3.5 - Disposition Code 54 (Matched to Cross-referenced HICN) (Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18) The Host provides the MAC with disposition code 54 and Trailer 08 with error code 5052 when it discovers a cross-reference number in its own files for the name or number the MAC submitted. Disposition Code 54 applies only to A/B MAC (B) or DME MAC- submitted claims. The possible number and the new full name is returned to the MAC on Trailers 1 and 10. • The A/B MAC or DME MAC investigates the information provided and corrects the information on the claim and resends it. • If the MAC continues to receive a code 54, it contacts the Host through locally established procedures.