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Claim Adjustment Reason Codes (CARCs) and Enclosure 1 …

Jan 1, 2014 … Late claim denial. CO/29/–. CO/29/N30 … Payment denied – prior … CO/177. PR/
177. CO/177. Revised 1/28/2014. Only SED services are valid.

Remittance Advice Remark Code –

Oct 1, 2007 … A1 – Claim/Service denied. At least one Remark Code must be provided (may be
comprised of either the Remittance Advice Remark Code or …

Bulletin Number: xxxxxx –

Feb 21, 2013 … that you believed that we were likely to deny the service, and the patient signed a
statement agreeing to pay for the service. If you come within …

EOB Code Description Rejection Code Group Code Reason Code …

Description. Rejection. Code. Group. Code. Reason. Code. Remark. Code. 001
Denied. Care beyond first 20 visits or 60 days requires authorization. NULL. CO.

Common Adjustment Reasons and Remark Codes –

DENY Authorization number invalid for DOS. 610-Prior Authorization Services do
not match claim. PEND. Claims Adjustment Reason Code Description to …

Group Code Code Description Start Modified End – Mass.Gov

Jan 1, 1995 … Claim denied because this injury/illness is the liability of the no-fault carrier. …
Claim denied as patient cannot be identified as our insured.

MO HealthNet Professional Billing Book – Missouri Department of …

Jun 21, 2013 … whether the claim is paid, denied, approved to pay or is being processed. In
addition, the system will give the amount paid, the RA date and the.