Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesN406N407N408N409N410N418N419N420N421N422DescriptionThis service is only covered when the recipient's insurer(s) do notprovide coverage for the service.Start: 08/01/2007You are not an approved submitter for this transmission format.Start: 08/01/2007This payer does not cover deductibles assessed by a previous payer.Start: 08/01/2007This service is related to an accidental injury and is not covered unlessprovided within a specific time frame from the date of the accident.Start: 08/01/2007This is not covered unless the prescription changes.Start: 08/01/2007Misrouted claim. See the payer's claim submission instructions.Start: 08/01/2007Claim payment was the result of a payer's retroactive adjustment due toa retroactive rate change.Start: 08/01/2007Claim payment was the result of a payer's retroactive adjustment due toa Coordination of Benefits or Third Party Liability Recovery.Start: 08/01/2007Claim payment was the result of a payer's retroactive adjustment due toa review organization decision.Start: 08/01/2007 | Last Modified: 05/08/2008Notes: (Modified 2/29/08, typo fixed 5/8/08)Claim payment was the result of a payer's retroactive adjustment due toa payer's contract incentive program.Start: 08/01/2007 | Last Modified: 05/08/2008Notes: (Typo fixed 5/8/08)76