Claims

View reasons and scenarios for adjusting, reopening, cancelling, and resubmitting claims.

Read this article for tips on how to prevent reject reason code 34538.

Steps to prevent rejection when submitting a claim for mammography screening services.

Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and are in the appropriate format.

Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and are in the appropriate format.

This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the required modifier(s) are missing.

Read this article to learn more about ambulance trip / run sheets documentation.

Read this article to learn more about ambulance trip / run sheets documentation.

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.