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Last Modified: 12/10/2010
Location: FL, PR, USVI
Business: Part B
PR 27
Expenses incurred after coverage terminated
(CHARGES INCURRED DURING NON-ENTITLED PERIOD)
Resources/tips for avoiding this denial
Services were denied because the patient didn't have Medicare Part B coverage at the time the services were performed.
• Have a copy of the patient’s most recently issued Medicare card to compare with the number you are submitting. Via the Medicare card, verify for which part(s) of Medicare the patient is eligible.
• Before submitting a claim, check eligibility for current and previous service dates through the Part B interactive voice response system (IVR). From the main menu, press”3”, then "1" (current eligibility) or "2" (previous date of service eligibility).
Resource available through the First Coast Service Options (FCSO) Medicare training website (www.fcsomedicaretraining.com) 
:
:• Learn more about the IVR with our free Web-based training (WBT) Interactive Voice Response Features and Information.
Tips to correct the denied claim
If the patient's Medicare file is updated, reflecting they were eligible on the date(s) of service, you can now have your claim reopened via the IVR.
• Click here for more information on this feature.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
