Claims

There are a few scenarios that exist for denial reason code CO 97, as outlined below. Please review the associated remittance advice remark code (RARC) noted on the remittance advice for your claim…

This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Use these self-service tools and forms related to claims.

Use these self-service tools and forms related to claims.

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden. 

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.