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EOB Code Description Rejection Code Group Code Reason Code …

www.lni.wa.gov

Rejection. Code. Group. Code. Reason. Code. Remark. Code. 001 Denied. Care
beyond … Contact work hardening reviewer at (360)902-4480. NULL. CO. A1.

Common Adjustment Reasons and Remark Codes – Maine.gov

www.maine.gov

This is a work-related injury/illness and thus the liability of the. Worker's
Compensation ….. patient's current benefit plan. A1. A8. Revenue code and
Procedure code do not match. …. 312-Invalid co-insurance days for 11x bill type.
WARN.

14-001 – California Department of Health Care Services – State of …

www.dhcs.ca.gov

Feb 10, 2014 … The Phase III CORE 360 Uniform Use of Claim Adjustment Reason … codes that
can be applied to convey details of the claim denial or … CO/29/. Beneficiary aid
code(s) do not indicate eligibility for Drug Medi- …. CO/A1/M51.

Provider Remittance Advice Codes – Alabama Medicaid

medicaid.alabama.gov

A1. Claim/Service denied. N382. Missing/incomplete/invalid patient identifier.
0206 PRESCRIBING ….. administered for use immediately before, at, or within 48
hours of …. ADJUSTMENT HAS AUTO DENIAL. 45 …. Co-payment Amount. M58.

Remittance Advice Remark Code – CMS

www.cms.gov

Oct 1, 2007 … Medicare contractors must use only … A1 – Claim/Service denied. …. NPI denial –
missing … Notes: Use Code 45 with Group Code 'CO' or use.

R470CP.pdf – CMS

www.cms.gov

Feb 4, 2005 … SUBJECT: Standardize use of reason and group codes, and calculation of TS2
and. TS3 segment data ….. Denial reversed per Medical Review. X. 65 …. A1.
Claim denied charges. CO/PR. A2. Contractual adjustment. X. A3.

DENY REASON CODES CHEAT SHEET – Los Angeles County …

lacdmh.lacounty.gov

County of Los Angeles. Department of Mental Health. Contract Providers
Transition Project. (CPTP). How to Correct Denied Claims. Version 1.3. August
2010 …

Medi-Cal Denial Reason Descriptions (short)

file.lacounty.gov

Code. Description of. Short-Doyle/Medi-Cal Phase II. Denial Reason. CO. 6.
Therapeutic … A1. MA134 Submitting county ineligible to use HFP-IP. CO. A1.
N20.

Adjustment Reason Code – Explanation of Benefits

www.eohhs.ri.gov

CO. 125. PAYMENT ADJUSTED DUE TO A SUBMISSION/BILLING ERROR(S). …
020. CLAIM DENIED. DOES NOT WARRANT AMBULANCE USE. CO. 50 ….. CO.
A1. CLAIM DENIED CHARGES. 218. SIXTH DIAGNOSIS CODE IS NOT
CONSISTENT ….. EXPLANATION OF OTHER INSURANCE DENIAL IS
REQUIRED. CO.

Claim Adjustment Reason Code Remittance Advice Remark Code …

medicaidprovider.mt.gov

received payment from the insurance company but no credit was reported on ….
indicate the reason for denial, or the message/remark/reason code text was not …

UB–04 Claim Filing Instructions – Dss.mo.gov

dss.mo.gov

on that date or Xerox certification/denial of the admission date. 13. … 18*-24*
Condition Codes (continued) A1-Healthy Children & Youth/EPSDT … 04 –
Accident/Employment Related. 05 – Other …. payment, Medicare payment or co-
pay.

Chapter 3 – Nebraska Secretary of State

www.sos.ne.gov

3-003.01B Denial of Provisional License. 8 … 3-004.06A At Least 30 Working
Days Before. 14 … 3-006.03. Background Checks/Health Information/
Employment Limitations 19 ….. director of the center if the applicant is a limited
liability company, a …. 3-003.05A1 Determining Need for a Licensing Agreement:
The Department.

Chapter 9 Medicare/Other Insurance Liability – ahcccs

www.azahcccs.gov

Mar 12, 2014 … Employment-related disability and health insurance … the service and upholds
the denial upon the provider's appeal, then AHCCCS makes no … (e.g., any
deductible, coinsurance, and/or co-pay as indicated above). …. A1. 812 00 b c d.
2. Medicare Part B – Inpatient a. Report Medicare Part B as the payer …

Identification of Medicaid Beneficiaries' Third Party Resources and …

www.medicaid.gov

Sep 11, 2014 … A1: The Social Security Act (the Act) generally requires health …. insurance
company offering health or casualty insurance to …. State Medicaid agencies and
their business associates can use the data obtained …. Q14: What is the
responsibility of liable third parties regarding health insurers' denials of.

SSA – POMS: DI 26510.045 – Completing Item 22 (Regulation Basis …

www.lb7.uscourts.gov

Mar 28, 2016 … cash benefit purposes (item 18A), enter Regulation-Basis code "A1. …
determination is returned by CO or DQB for further consideration. … Impairment
denials, was redefined for use in DC Under Age 18 Impairment Not Severe …

UNITED STATES v. PINEDA-MORENO – Ninth Circuit

cdn.ca9.uscourts.gov

Aug 12, 2010 … ing from the denial of rehearing en banc); United States v. Black … among judges
and lawyers, the word is seldom well under- … See also Dow Chemical Co. v. …..
2010, at A1, A14 (identifying AT&T and Verizon as provid-.

Pharmacy Section – Colorado.gov

www.colorado.gov

Dec 4, 2014 … COLORADO MEDICAL ASSISTANCE PROGRAM ….. Appendix P. Notification of
PAR approval or denial is sent to each of the …. Third party insurance that allows
the use of a mail order pharmacy to ….. 1Ш1-A1 BIN NUMBER.

Landsource Container Service, Inc. – NYC.gov

www.nyc.gov

Jun 22, 2015 … the Denial of the Application of Landsource Container Service, Inc. to Operate as
a Trade … Removers of Greater New York Inc. et a1., Indictment No. …. working
for a company that has been denied a registration by the …

INSURANCE DEPARTMENT OF BANKING AND INSURANCE …

www.newjersey.gov

Proposed Repeal: N.J.A.C. 11:221 Appendix A1. Authorized …. deadlines would
commence from the date of payment, denial or notice from the primary payer …..
providers may not use the independent arbitration mechanism if a disputed claim
…. "Carrier" means an insurance company, health service corporation, hospital.

Table of Contents – BIS – Department of Commerce

www.bis.doc.gov

Nov 4, 2016 … denial. Because these controls extend to virtually all exports, they do not appear
in the … personal or official use by personnel and agencies.



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