Last Modified: 12/21/2018 Location: FL, PR, USVI Business: Part A
Reason codes for denied claims FAQ
Q: What are the reason code ranges for claims when they have denied?
A: For claims that have been reviewed by the medical review department and denied, the reason code will start with a "5". If your claim was denied through the fiscal intermediary shared system (FISS) the reason code will start with a "7", which is a non-medical denial.
Click here for the description of a Medicare Part A reason code. Enter the reason code into the box and click the submit button.
Source: Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) manual
Please use your browser's back button to return to the referring page.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.