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Jurisdiction 1 Part B
Dental – Impression and Custom Preparation; Facial Prosthesis

States applicable to alert:
Hawaii, Nevada, Guam, American Samoa, Northern Mariana Islands, Northern California and Southern California

Background information:
Claims were denied with incorrect message that instructed the provider to send the claim to another payer.

Applies to procedure code:
21088

Modifier:
N/A

Remark/reason codes:
109 – The claim is not covered by this payer or contractor. You must send the claim to the correct payer or contractor.

MAC action:
A mass adjustment will be performed for claims denied with the incorrect message.
 
Provider action:

Date reported: 
4/8/09

Date resolved: 
Open

 

last updated on 04/10/2009
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