Claim Adjustment Reason Codes - Palmetto GBA
Claim Adjustment Reason Codes - Palmetto GBA
Claim Adjustment Reason Codes - Palmetto GBA
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<strong>Reason</strong><strong>Codes</strong>N486N487N488N489N490N491N492N493N494N495N496N497N498DescriptionIncomplete/invalid Physical Therapy Certification.Start: 07/01/2008Missing Prosthetics or Orthotics Certification.Start: 07/01/2008Incomplete/invalid Prosthetics or Orthotics CertificationStart: 07/01/2008Missing referral form.Start: 07/01/2008Incomplete/invalid referral formStart: 07/01/2008Missing/Incomplete/Invalid Exclusionary Rider Condition.Start: 07/01/2008Alert: A network provider may bill the member for this service if themember requested the service and agreed in writing, prior to receivingthe service, to be financially responsible for the billed charge.Start: 07/01/2008Missing Doctor First Report of Injury.Start: 07/01/2008Incomplete/invalid Doctor First Report of Injury.Start: 07/01/2008Missing Supplemental Medical Report.Start: 07/01/2008Incomplete/invalid Supplemental Medical Report.Start: 07/01/2008Missing Medical Permanent Impairment or Disability Report.Start: 07/01/2008Incomplete/invalid Medical Permanent Impairment or Disability Report.Start: 07/01/200882
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