http://www.insuranceclaimdenialappeal.com/2010/05/oa-other-adjustments-denial-code-list.html Web13 mrt. 2024 · This code should be reported in the ADJUSTMENT-REASON-CODE data element on the T-MSIS claim file. To the extent that it is the state’s policy to consider a …

bcbs denial codes list

WebWhen the provider remits interest by check or money order, a “history-only” gross adjustment is prepared through OnBase and is entered into the MMIS. Adjustment … WebMost of the following claim submission errors will have a Group/reason Code Co-16 (Claim/ Service lacks information needed for adjudication). When you receive a Group/reason Code Co-16, it will be accompanied by either a remarks Code or Moa Code identifying the missing/invalid information needed to process the claim. feline healthy ageing clinic

Claims and Billing - Department of Medical Assistance Services

WebMedicaid Claim Adjustment Reason Code:177 Medicaid Remittance Advice Remark Code:Nil MMIS EOB Code:259 Claim denied due to no Part B eligibility for professional or outpatient crossover claim and the client is QMB, SLMB, QI or Part B buy-in and no Part B eligibility on file Was this information helpful? Yes: No: WebMedicaid Claim Adjustment Reason Code:22 Medicaid Remittance Advice Remark Code:MA04 MMIS EOB Code:56 Our records indicate the recipient has Medicare coverage. Please submit the claim to Medicare for payment or resubmit the claim to Medicaid with either the Medicare information in form locators 39, 40, and 54 or a Medicare EOMB … WebMedicaid Claim Adjustment Reason Code:129 Medicaid Remittance Advice Remark Code:MA92 MMIS EOB Code:903. This claim was received and reviewed by the TPL unit. No documentation was attached to allow claim to be considered for payment. Please provide either the amount paid by the other carrier or attach appropriate documentation for review. definition of behavioral segmentation