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Treatment With More Than One Drug Per Class Of Ulcer Treatment Drug At The Same Time Is Not Allowed Through Stat PA. Indicated Diagnosis Is Not Applicable To Members Sex. Other Medicare Part A Response not received within 120 days for provider basedbill. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. The Medical Need For This Service Is Not Supported By The Submitted Documentation. A Primary Occurrence Code Date is required. Documentation You Have Submitted Does Not Meet The Requirements Of HSS 107.09(4)(k). Contingency Plan for CORE and HIRSP Kids Suspend all non-pharmacy claims. Traditional dispensing fee may be allowed. This Payment Is To Satisfy The Amount Owed For OBRA Nurse Aid Training. Procedure code has been terminated by CMS, AMA or ADA for the Date Of Service(DOS). The revenue accomodation billing code on the claim does not match the revenue accomodation billing code on the member file or does not match for these dates of service. Only One Federally Required Annual Therapy Evaluation Per Calendar Year, Per Member, Per Provider. Your 1099 Liability Has Been Credited. Denied due to Greater Than Four Dates Of Service Billed On One Detail. Billing Provider is not certified for the detail From Date Of Service(DOS). Member does not meet the age restriction for this Procedure Code. Service Billed Limited To Three Per Pregnancy Per Guidelines. Has Already Issued A Payment To Your NF For This Level L Screen. Department of Health Services (DHS) Authorized Payment Is Being Withheld Due toa Department Of Justice Settlement. Denied. A code with no Trip Modifier billed on same day as a code with Modifier U1 are considered the same trip. Exceeds The 35 Treatment Days Per Spell Of Illness. Authorization For Surgery Requiring Second Opinion Valid For 6Months After Date Approved. Please Supply Modifier Code(s) Corresponding To The Procedure Code Description. ACTION DESCRIPTION. Date Of Service/procedure/charges Billed On The Adjustment/reconsideration Request Do Not Match The Original Claim. Diagnosis 635-635.92 May Only Be Used When Billing For Abortion Procedures. Outside Lab,element 20 On CMS 1500 Claim Form Must Be Checked Yes When Handling Charges Are Billed. Denied due to Diagnosis Code Is Not Allowable. WellCare Known Issues List EOP Denial Code or Rejection Reason Code Issue Description Impacted Provider Specialty . Laboratory Is Not Certified To Perform The Procedure Billed. Denied. Denied. Total billed amount is less than the sum of the detail billed amounts. A Total Charge Was Added To Your Claim. Reconsideration With Documentation Warranting More X-rays. Second Other Surgical Code Date is required. Denied due to Provider Is Not Certified To Bill WCDP Claims. Has Processed This Claim With A Medicare Part D Attestation Form. The Maximum Prior Authorized Service Limitation Or Frequency Allowance Has Been Exceeded. Discrepancy Between The Other Insurance Indicator And OI Paid Amount. Member Is Enrolled In A Family Care CMO. If the KT/V reading was not performed, then the value code D5 with 9.99 must be present without the occurrence code 51. The information on the claim isinvalid or not specific enough to assign a DRG. Denied due to Procedure Is Not Allowable For Diagnosis Indicated. Reimbursement For Training Is One Time Only. The National Drug Code (NDC) is not on file for the Dispense Date Of Service(DOS). Activities To Promote Diversion Or General Motivation Are Non-covered Services. Prescriptions Or Services Must Be Billed As ASeparate Claim. Please Correct And Resubmit. Denied/Cutback. The Surgical Procedure Code is not payable for /BadgerCare Plus for the Date Of Service(DOS). Denials with solutions in Medical Billing; Denials Management - Causes of denials and solution in medical billing; Medical Coding denials with solutions Seventh Diagnosis Code (dx) is not on file. A Rendering Provider is not required but was submitted on the claim. Claim Denied/Cutback. Members Aged 3 Through 21 Years Old Are Limited To One Healthcheck Screening per 12 months. Please Bill Appropriate PDP. This drug is limited to a quantity for 100 days or less. Prior authorization requests for this drug are not accepted. This Is A Manual Increase To Your Accounts Receivable Balance. This Diagnosis Code Has Encounter Indicator restrictions. With Payspan's eEOB member-friendly functionality, members can log into the payer's secure portal and . An ICD-9-CM Diagnosis Code of greater specificity must be used for the SeventhDiagnosis Code. The header total billed amount is invalid. Type of Bill is invalid for the claim type. Claim Is Being Reprocessed, No Action On Your Part Required. The Diagnosis Code Is Not Valid On This Date Of Service(DOS). Six Week Healing Time Is Required Between Endentulation And Final Impressions.Payment For Dentures Will Be Denied Or Recouped If Healing Period Is Not Observed. According to CMS policy and the American College of Radiology, a chest X-ray (CPT codes 71045, 71046) should not be performed for screening purposes in the absence of pertinent signs, symptoms or diseases. A Payment For The CNAs Competency Test Has Already Been Issued. A number is required in the Covered Days field. Traditional dispensing fee may be allowed. NDC- National Drug Code is not allowed for the member on the Date Of Service(DOS). These are EOB codes, revised for NewMMIS, that may appear on your PDF remittance advice. A SeniorCare drug rebate agreement is not on file for this drug for the Date Of Service(DOS). This claim must contain at least one specified Surgical Procedure Code. Recasing Or Replacement Of Hearing Aid Case Is Limited To Once Per 2 Year Period Per Member Per Provider. Services Are Covered For Medically Needy Members Only When Healthcheck Referral is Indicated On Claim. To access the training video's in the portal . Denied. The Processor Control Number (PCN) for SeniorCare member over 200% FPL is missing, or the PCN is invalid for a WCDP member, member or SeniorCare member at or below 200% FPL. Claim Is Being Special Handled, No Action On Your Part Required. Contactmembers hospice for payment of services or resubmit with documentation of unrelated Nature of Care. Services on this claim have been split to facilitate processing.on On Your Part Is Required. Preventive Medicine Code Billed Is Allowed For Health Check Agencies Only With The Appropriate Healthcheck Modifier. Procedure Not Payable As Submitted. No Supporting Documentation. The Skills Of A Therapist Are Not Required To Maintain The Member. Six hour limitation on evaluation/assessment services in a 2 year period has been exceeded. CO - Contractual Obligations: This group code is used when a contractual agreement between the payer and payee, or a regulatory requirement, resulted in an adjustment.These adjustments are considered a write off for the provider and are not billed to . This Member Has Prior Authorization For Therapy Services. Procedure Code is not payable for SeniorCare participants. Etiology Diagnosis Code(s) (E-Codes) are invalid as the Admitting/Principal Diagnosis 1. Result of Service code is invalid. Only one initial visit of each discipline (Nursing) is allowedper day per member. Denied. The Travel component for this service must be billed on the same claim as the associated service. One or more To Date(s) of Service is invalid for Occurrence Span Codes in positions three through 24. In addition, when distinct service modifier 59 or modifier XE is not appended to auditory screening services and tympanometry/impedance testing, these services may be denied. NDC was reimbursed at State Maximum Allowable Cost (SMAC) rate. This Member Has Completed Primary Intensive Services And Is Now Only Eligible For after Care/follow-up Hours. This Payment Is To Satisfy The Amount Owed For OBRA Level 1. Dates Of Service For Purchased Items Cannot Be Ranged. Claim Denied. Code. Strong knowledge of adjustment and denial reason codes from Electronic Remittance Advices (ERA/835 files) and from paper Explanation of benefits (EOB's) / Explanation of payments (EOP's), CPT and ICD10 codes; Excellent interpersonal and communication skills with professional demeanor and positive attitude Claim Denied/cutback. Reimbursement For This Service Is Included In The Transportation Base Rate. Admission Date is on or after date of receipt of claim. Service not covered as determined by a medical consultant. Second Rental Of Dme Requires Prior Authorization For Payment. Rental Only Allowed; Medical Need For Purchase Has Not Been Documented. Find top links about Wellcare Cvs Caremark Login along with social links, FAQs, and more. Service(s) paid at the maximum daily amount per provider per member. The Header and Detail Date(s) of Service conflict. Denied. Procedure Not Payable for the Wisconsin Well Woman Program. Prescription Drug Plan (PDP) payment/denial information is required on the claim to SeniorCare. Please Correct And Resubmit. Please Complete Information. Prior authorization is required for Maxalt when Maxalt or sumatriptan productshave not been reimbursed within 365 days. Continuous home care must be billed in an hourly quantity equal to or greater than eight hours, up to and including 24 hours. . Second modifier code is invalid for Date Of Service(DOS) (DOS). Inpatient Respite Care Is Not Covered For Hospice Members Residing In Nursing Homes. Claim Paid In Accordance With Family Planning Contraceptive Services Guidelines. Multiple Referral Charges To Same Provider Not Payble. This National Drug Code (NDC) has Encounter Indicator restrictions. That is why we support our provider partners with quality incentive programs, quicker claims payments and dedicated market support. Eyeglasses limited to original plus 1 replacement pair, lens or frame in 12 wit hout Prior Authorization. A National Provider Identifier (NPI) is required for the Performing Provider listed in the header. Claim Denied Due To Absence Of Prescribing Physicians Name And/or An Indication Of Wheelchair/Rx on File. Split Decision Was Rendered On Expansion Of Units. wellcare explanation of payment codes and comments. Start: 01/01/2000 | Last Modified: 03/06/2012 Notes: (Modified 2/28/03, 3/6/2012) N5: Fifth Diagnosis Code (dx) is not on file. Payment may be reduced due to submitted Present on Admission (POA) indicator. PDN services billed on this claim exceed 12 hours/day per nurse, PDN services billed on this claim exceed 60 hours/week per nurse, PDN services billed on this claim exceed 24 hours/day per member. Services billed exceed prior authorized amount. This Check Automatically Increases Your 1099 Earnings. Correct And Resubmit. Header and/or Detail Dates of Service are missing, incorrect or contain futuredates. The Service Requested Is Covered By The HMO. Routine foot care is limited to no more than once every 61days per member. Procedure Code and modifiers billed must match approved PA. A Procedure Code without a modifier billed on the same day as a Procedure Codewith modifier 11 are viewed as the same trip. The Second Other Provider ID is missing or invalid. Denied. Discharge Diagnosis 5 Is Not Applicable To Members Sex. Claims adjustments. This ProviderMay Only Bill For Coinsurance And Deductible On A Medicare Crossover Claim. Please Indicate Mileage Traveled. Denied due to From Date Of Service(DOS)/date Filled Is Missing/invalid. Department of Health Services (DHS) Authorized Payment Is Being Withheld Due toan Audit. ACTION TYPE LEGEND: The dental procedure code and tooth number combination is allowed only once per lifetime. One or more Diagnosis Codes has a gender restriction. Denied. Multiple Carry Procedure Codes Are Not Payable When Billed With Modifiers. Denied due to Procedure Billed Not A Covered Service For Dates Indicated. Payment Authorized By Department of Health Services (DHS) To Be Recouped at a Later Date. 10 Important Billing Tips for FQHC and RHC Providers. Rendering Provider is not certified for the From Date Of Service(DOS). The To Date Of Service(DOS) for the Second Occurrence Span Code is required. Thank You For Your Assessment Interest Payment. Referral Codes Must Be Indicated For W7001, W7002, W7003, W7006, W7008 And W7013. Example: Diagnosis code 285.21 is entered as 28521, without a period or space. Rqst For An Acute Episode Is Denied. 0300-0319 (Laboratory/Pathology). Bilateral Surgeries Reimbursed At 150% Of The Unilateral Rate. We Have Determined There Were (are) Several Home Health Agencies Willing To Provide Medically Necessary Skilled Nursing Services To This Member. Claim Denied Due To Incorrect Billed Amount. At Least One Of The Compounded Drugs Must Be A Covered Drug. Birth to 3 enhancement is not reimbursable for place of service billed. Dispense Date Of Service(DOS) is after Date of Receipt of claim. This diabetic supply has been paid under an equivalent code on this Date Of Service(DOS). You Must Either Be The Designated Provider Or Have A Referral. Member is not enrolled in /BadgerCare Plus for the Date(s) of Service. 0001: Member's . Two Informational Modifiers Required When Billing This Procedure Code. Additional Reimbursement Is Denied. Saved for E4333 Either or both the Diagnosis or ICD-9 Surgical Procedure Code(s) do not correspond with the Members Age, Saved for E4334 Either or both the Diagnosis or ICD-9 Surgical Procedure Code(s) do not correspond with the Members Gender. If required information is not received within 60 days, the claim will be. This service or a related service performed on this date has already been billed by another provider and paid. Inpatient psychiatric services are not reimbursable for members age 21 65 (age 22 if receiving services prior to 21st birthday). Plan options will be available in 25 states, including plans in Missouri . Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update ; Note: This article was revised on April 11, 2018, to update Web addresses. Please Indicate Separately On Each Detail. Limited to once per quadrant per day. Medicare RA/EOMB And Claim Dates And/or Charges Do Not Match. Contact Provider Services For Further Information. Member is enrolled in a State-contracted managed care program for the Date(s) of Service. Medical Necessity For Food Supplements Has Not Been Documented. Member is not Medicare enrolled and/or provider is not Medicare certified. . Dates Of Service Must Be Itemized. This list was formerly published as Part 6 of the administrative and billing instructions in Subchapter 5 of your MassHealth provider manual. Denied. Was Unable To Process This Request. Claims may be denied if an advanced imaging procedure is billed with a diagnosis of syncope and there is no history of a 12-lead EKG being performed/billed the same date or in the previous 90 days. Other Insurance Disclaimer Code Invalid. Denied. One or more Diagnosis Code(s) is invalid in positions 10 through 25. Procedure Code 59420 Must Be Used For 5 Or More Prenatal Visits With One Charge. Claim reduced to fifteen Hospital Bedhold Days for stays exceeding fifteen days. The Surgical Procedure Code has Diagnosis restrictions. DN017 Medicare EOB Denials BH N/A 10/15/2017 9/26/2017 6815, 321095 CE034 99213 99214 in Place of Service 52 Medical Billing and Coding Information Guide. Unrelated Procedure/Service by the Same Physician During the Post-op Period, Modifier 79. This Claim HasBeen Manually Priced Using The Medicare Coinsurance, Deductible, And Psyche RedUction Amounts As Basis For Reimbursement. Dialysis/EPO treatment is limited to 13 or 14 services per calendar month. Type of Bill indicates services not reimbursable or frequency indicated is notvalid for the claim type. This service is not payable with another service on the same Date Of Service(DOS) due to National Correct Coding Initiative. The Member Is School-age And Services Must Be Provided In The Public Schools. Condition code 20, 21 or 32 is required when billing non-covered services. The Insurance EOB Does Not Correspond To The Dates Of Service/servicesBeing Billed. One or more Diagnosis Codes are not applicable to the members gender. The Revenue Code is not payable for the Date Of Service(DOS). Do not resubmit. Denied/Cutback. Qty And/or Detail Charge Do Not Divide Out Equally For Dates Of Service and/orQty Given. Claim Denied Due To Absent Or Incorrect Discharge (to) Date. Discharge Diagnosis 3 Is Not Applicable To Members Sex. Policy override must be granted by the Drug Authorizationand Policy Override Center to dispense early. Explanation of Benefit codes (EOBs) Explanation of Benefit (EOB) codes are reported on your remittance statement. If Required Information Is not received within 60 days, the claim detail will be denied. Referring Provider ID is not required for this service. Pricing Adjustment/ Maximum Flat Fee Level 2 pricing applied. A federal drug rebate agreement for this drug is not on file for the Date Of Service(DOS)(DOS). Denied due to Provider Number Missing Or Invalid. Only One Date For EachService Must Be Used. Time Spent In AODA Day Treatment By Affected Family Members Is Not Covered. PDN Codes W9045/w9046 Are Not Payable On The Same Date As PDN Codes W9030/W9031 For The Same Provider And Member. Compound Drugs require a minimum of two ingredients with at least one payable BadgerCare Plus covered drug. A Training Payment Has Already Been Issued For This Cna. Service Denied. Member does not have commercial insurance for the Date(s) of Service. Service not payable with other service rendered on the same date. This Dental Service Limited To Once Every Six Months, Unless Prior Authorized. Scope Aid Code and an EPSDT Aid Code. Denied. The Second Modifier For The Procedure Code Requested Is Invalid. Claim Denied For No Client Enrollment Form On File. Pharmaceutical Care Codes Are Billable On Non-compound Drug Claims Only. CNAs Eligibility For Nat Reimbursement Has Expired. Claims may deny when a nerve conduction study is billed without a needle EMG, or a needle EMG is billed without a Nerve conduction study, and the only diagnosis is radiculopathy (ICD-10 codes M50.1-M50.23, M51.1-M51.27, M51.9, M53.80, M54.10-M54.18, M54.30-M54.42, and M79.2). An antipsychotic drug has recently been dispensed for this member. Ancillary Codes Dates Of Service And/or Quantity Billed Do Not Match Level Of Care authorized Dates. Rural Health Clinics May Only Bill Revenue Codes On Medicare Crossover Claims. Amount Recouped For Mother Baby Payment (newborn). Remark Codes: N20. Denied. Competency Test Date Is Not A Valid Date. When coding HCPCS for outpatient services, the provider enters the HCPCS code describing the procedure. Well-baby visits are limited to 12 visits in the first year of life. Resubmit Complete And/or Second Page Of Medicares EOMB Showing All Total And Payments. Claim or line denied. EOB Any EOB code that applies to the entire claim (header level) prints here. The Hearing Aid Recommended Is Not Necessary; The Member Could Be Adequately Fitted With A Conventional Aid. Continue ToUse Appropriate Codes On Billing Claim(s). Denied. EPSDT/healthcheck Indicator Submitted Is Incorrect. If not, the procedure code is not reimbursable. Requested Documentation Has Not Been Submitted. The Members Clinical Profile/diagnosis Is Not Within Diagnostic Limitations for Psychotherapy Services. No action required. TPA Certification Required For Reimbursement For This Procedure. Member enrolled in Medicare Part D for the Dispense Date Of Service(DOS). Payment has been reduced or denied because the maximum allowance of this ESRD service has been reached. Dispensing fee denied. The first occurrence span from Date Of Service(DOS) is after the to Date Of Service(DOS). The Maximum limitation for dosages of EPO is 500,000 UIs (value code 68) per month and the maximum limitation for dosages of ARANESP is 1500 MCG (1 unit=1 MCG) per month. Please Ask Prescriber To Update DEA Number On TheProvider File. This Claim Is Being Reprocessed As An Adjustment On This R&s Report. The Service Requested Is Not A Covered Benefit Of The Program. Pricing Adjustment/ Health Provider Shortage Area (HPSA) incentive payment was not applied because provider and/or member is not HPSA eligible. Denied. Billing Provider Type and Specialty is not allowable for the Place of Service. Documentation Does Not Justify Medically Needy Override. Pricing Adjustment/ Revenue code flat rate pricing applied. The Lens Formula Does Not Justify Replacement. Billed Amount On Detail Paid By WWWP. NDC was reimbursed at Employer Medical Assistance Contribution (EMAC) rate. Denied. Payment Recovered For Claim Previously Processed Under Wrong Member ID Number. Watch FutureRemittance And Status Reports For Its Finalization Before Resubmitting. Timely Filing Deadline Exceeded. Allowed Amount On Detail Paid By WWWP. The Service/procedure Proposed Is Not Supported By Submitted Documentation. Modifiers submitted are invalid for the Date Of Service(DOS) or are missing.. An ICD-9-CM Diagnosis Code of greater specificity must be used for the Sixth Diagnosis Code. NCTracks AVRS. The detail From Date Of Service(DOS) is invalid. Denied. Purchase of a blood glucose monitor includes the first 30 days of supplies for the monitor. Review Billing Instructions. Purchase Only Allowed; Medical Need For Rental Has Not Been Documented. Please Refer To The Original R&S. Billing Provider Type and Specialty is not allowable for the service billed. The Primary Occurrence Code Date is invalid. This care may be covered by another payer per coordination of benefits. Service Must Be Billed On Drug Claim Form Utilizing NDC Codes. Individual Vaccines And Combination Vaccine Code May Not Be Billed For The Same Dates Of ervice. Use Of Therapy Equipment Alone Is Not Sufficient To Justify Maintenance Therapy. A dispense as written indicator is not allowed for this generic drug. The Revenue code on the claim requires Condition code 70 to be present for this Type of Bill. Claim contains an unclassified drug HCPCS procedure code or a drug HCPCS procedure code included in the composite rate. The Member Is Enrolled In An HMO. Claim or adjustment/reconsideration request must have both a Revenue Code and either a HCPCS Code or CPT Code. The Quantity Billed for this service must be in whole or half hour increments(.5) Increments. Claims may deny for a CT head or brain, CTA head, MRA head, MRI brain or CT follow-up when the only diagnosis on the claim is a migraine. A: This denial is received when Medicare records indicate that Medicare is the beneficiary's secondary payer. This Incidental/integral Procedure Code Remains Denied. Please Rebill Only CoveredDates. ambulatory surgical center, outpatient hospital) exists for the same member, same date of service and the same procedure or service. You Received A PaymentThat Should Have gone To Another Provider. this Procedure Code Is Denied As Mutually Exclusive To Another Code Billed On This Claim. Training Request Denied Because Either The Training Date On The Request Is After The CNAs Certification Test Date Or Its Not Within A Year Of That Date. Because a claim can have edits and audits at both the header and detail levels, EOB codes are listed . Revenue Codes 0110 (N6) And 0946 (N7) Are Not Payable When Billed On The Same Dateof Service As Bedhold Days. Please Select A Procedure Code In The 58980-58988 Range That Best Describes The Procedure Being Performed. Cannot bill for both Assay of Lab and other handling/conveyance of specimen. Unable To Process Your Adjustment Request due to Member Not Found. WellCare 2016 NA_11_16 NA6PROGDE80121E_1116 . Medicare Copayment Out Of Balance. Review Of Adjustment/reconsideration Request Shows Original Claim Payment Was Max Allowed For Medical Service/Item/NDC. CNAs Eligibility For Training Reimbursement Has Expired. Home Health visits (Nursing and therapy) in excess of 30 visits per calendar year per member require Prior Authorization. A Valid Level Of Effort Is Required For Billing Compound Drugs Or Pharmaceutical Care. The Documentation Submitted Does Not Indicate Medically Oriented Tasks Are Medically Necessary, Therefore Personal Care Services Have Been Approved. A National Provider Identifier (NPI) is required for the Rendering Provider listed in the header. Please Submit With Completed timely Filing Form In The All Provider Handbook And Supporting Documentation. Emergency Services Indicator must be "Y" or Pregnancy Indicator must be "Y" for this aid code. Please Resubmit Your Non-healthcheck Services Using The Appropriate Claim SortIndicator Or Electronic Format. Hospital And Nursing Home Stays Are Not Payable For The Same DOS Unless The Nursing Home Claim Indicated Hospital Bedhold Days. All rental payments have been deducted from the purchase costsince the DME item was rented and subsequently purchased for the member. Approved. 2. Billed Amount Is Equal To The Reimbursement Rate. Dosings for Narcotic Treatment Service program are limited to six per Sunday thru Saturday calendar week. If A CNA Obtains his/her Certification After Theyve Been Hired By A NF, A NF Has A Year From Their Certification, Test, Date To Submit A Reimbursement Request To . Physical Therapy Treatment Limited To One Modality, One Procedure, One Evaluation Or One Combination Per Day. Submitted rendering provider NPI in the detail is invalid. Pricing Adjustment/ Resource Based Relative Value Scale (RBRVS) pricing applied. Please show the appropriate multichanel HCPCS code rather than the individual HCPCS code. "Laterality" (side of the body affected) is a coding convention added to relevant ICD-10 codes to increase specificity. Questionable Long-term Prognosis Due To Decay History. Claims may deny when reported with incompatible ICD-10-CM Laterality policy for Diagnosis-to-Modifier comparison. The number of tooth surfaces indicated is insufficient for the procedure code billed. Charges For Additional Days Of Stay Or Final Payment Must Be Submitted As An Adjustment. Denied. Use The New Prior Authorization Number When Submitting Billing Claim. This HMO Capitation Payment Is Being Recouped It Was Inappropriately Paid During The Inital February HMO Capitation Cycle. HCPCS procedure codes G0008, G0009 or G0010 are allowed only with revenue code0771. The Procedure Requested Is Not Appropriate To The Members Sex. A valid procedure code is required on WWWP institutional claims. Please Correct And Resubmit. Dental service is limited to once every six months. (Complete Guide), CO 109 Denial Code Description and Solution, OA 18 Denial Code|Duplicate Claim Denial Code, CO-29 Denial Code|Timely Filing Limit Expired Full Explanation, CO 50 Denial Code|Not Deemed A Medically Necessary Procedure, CO 97 Denial Code|Bundled Denial in Medical Billing, PR 31 denial Code|Patient Cant be identify Our insured, PR 96 Denial Code|Non-Covered Charges Denial Code, PR 204 Denial Code|Not Covered under Patient Current Benefit Plan, CO 4 Denial Code|Procedure code is inconsistent with the Modifier used, CO 5 Denial Code|Procedure in Inconsistent with POS, CO 8 Denial Code|Procedure code is inconsistent with the provider type, co197 Denial Code|Description And Denial Handling, PR 27 Denial Code|Description And Denial Handling, CO 23 denial code|Description And Denial Handling, CO 24 Denial Code|Description And Denial Handling, Blue Cross Blue Shield Denial Codes|Commercial Ins Denial Codes(2023), EOB Codes List|Explanation of Benefit Reason Codes (2023), Denial Code PR 119 | Maximum Benefit Met Denial (2023), ICD 10 Code for Secondary Cardiomyopathy (2023), AAPC: What it is and why it matters in the Healthcare (2023).