Denial codes - Palmetto GBA

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Disclaimer: The data contained in this presentation was extracted from Part B Data Analysis Reports for the months of May, June and July 2008. The claim denials outlined today will be the only claim denials discussed. Any questions about denials not addressed during this session or any specific claim issues, please contact the Provider Contact Center at (888) 828-2092.
• To increase provider awareness and understanding of the most common claim denials • To provide appropriate information on how to avoid or resolve these common denials • To reduce and/or eliminate inquires to the Provider Contact Center (PCC) regarding these denials
Page 1: Presented by Palmetto GBA September
Page 5 and 6: CO: Contractual Obligation • Pati
Page 7 and 8: Claim Submission Errors - SC May Ju
Page 9 and 10: How to resolve and avoid future den
Page 13 and 14: How to resolve the denial • Resub
Page 29 and 30: • Access www.PalmettoGBA.com/bsc
Page 31 and 32: • Not a level of the appeals proc
Page 33 and 34: www.PalmettoGBA.com/bsc • Self Se
Page 35 and 36: • Modifier Lookup

Denial codes - Palmetto GBA

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