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Jurisdiction 11 Part B
Denial Resolution

The Palmetto GBA Denial Resolution tool includes resources for resolving the top claim rejections and denial reasons. Save time and resources by looking here before you pick up the phone.

  • Access denial reasons in plain language
  • Scroll through the titles to locate your procedure
  • Use the Palmetto GBA search engine to search by remark code


of 3see 25 | see 50 | see 100 Next Page >> Search this Area Search this Area
Code/Modifier Combination Invalid and Modifier Invalid/Missing09/26/2014
Electronic Claim Required: Denials09/26/2014
E/M Service: Similar Services from Multiple Providers in the Same Group09/26/2014
Hospice: Non-Attending Physician Denials09/26/2014
N29: Documentation Received for this Date of Service (DOS) was not Received or Was Incomplete09/26/2014
Anesthesia Services: Bundling Denials09/01/2014
Beneficiary Eligibility Denials09/01/2014
C-Reactive Protein Testing: Medical Necessity Denials09/01/2014
CERT Order Denials09/01/2014
CERT Signature Denials09/01/2014
Chest X-ray or EKG: Duplicate Denials09/01/2014
Chiropractic Manipulative Treatment: Duplicate Denials09/01/2014
CLIA Certification Number Required09/01/2014
CLIA: Laboratory Tests09/01/2014
Clinical Laboratory Procedures: Duplicate Denials09/01/2014
Creatinine (Blood): NCCI Bundling Denials09/01/2014
Denials: Top Reasons and Procedures09/01/2014
Diagnostic Cardiology Services: Medical Necessity Denials09/01/2014
EKG, EKG Rhythm Strip and Cardiac Echography: NCCI Bundling Denials09/01/2014
Established Patient Office Visits: NCCI Bundling Denials09/01/2014
Eye Refraction: Statutory Denials09/01/2014
E/M Services: CCI Bundling Denials09/01/2014
E/M Service: Duplicate Denials09/01/2014
E/M Service: Global Surgery Denials09/01/2014
Fecal Occult Blood Tests (FOBT): Medical Necessity Denials09/01/2014
see 25 | see 50 | see 100 Next Page >>

 

last updated on 10/01/2014
ver 1.0.51