Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN385N386N387N388N389N390N391N392N393DescriptionNotification of admission was not timely according to published planprocedures.Start: 04/01/2007 | Last Modified: 11/05/2007Notes: (Modified 11/5/07)This decision was based on a National Coverage Determination (NCD).An NCD provides a coverage determination as to whether a particularitem or service is covered. A copy of this policy is available athttp://www.cms.hhs.gov/mcd/search.asp. If you do not have webaccess, you may contact the contractor to request a copy of the NCD.Start: 04/01/2007Alert: Submit this claim to the patient's other insurer for potentialpayment of supplemental benefits. We did not forward the claiminformation.Start: 04/01/2007 | Last Modified: 03/01/2009Notes: (Modified 3/1/2009)Missing/incomplete/invalid prescription numberStart: 08/01/2007Duplicate prescription number submitted.Start: 08/01/2007This service/report cannot be billed separately.Start: 08/01/2007 | Last Modified: 07/01/2008Notes: (Modified 7/1/08)Missing emergency department records.Start: 08/01/2007Incomplete/invalid emergency department records.Start: 08/01/2007Missing progress notes/report.Start: 08/01/2007 | Last Modified: 07/01/2008Notes: (Modified 7/1/08)74