Claims

You received this denial for one of the following reasons: 1) the date of service (DOS) on the claim is prior to the provider’s Medicare effective date or after his/her termination date, 2) the…

Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.

Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or valid (as applicable). The following reason codes are frequently…

Read this article for tips on how to prevent RTP 34931.

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

Read this article for tips on how to prevent RUC CO 24.

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.

Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.

Read this article for tips on how to prevent RUC CO 109.

Read this article for tips on how to prevent RUC CO 16.