Claims
Reject reason codes
Use the links on this page to learn how to avoid common denials and claims rejections.
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Using the KX modifier for dental services inextricably linked to covered medical services
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.
Using the KX modifier for dental services inextricably linked to covered medical services
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.
Tips to prevent claim adjustment reason code (CARC) PR 49
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
Tips to prevent claim adjustment reason code (CARC) CO 50/PR 50
To increase the number of claims that successfully process and enhance cash flow, we are providing you with the top reasons claims denied with tips and resources to help you avoid many of these…