Palmetto GBA
Skip
permaLink
Ohio Part B Carrier
Electronic Claim Required: Denials

Denial Reason, Reason/Remark Code(s)
  • MA130: Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable. Please submit a new claim with the complete/correct information.  
  • MA117: Not covered unless submitted via electronic claim
Resolution/Resources
  • The Administrative Simplification Compliance Act (ASCA) already requires claims to be submitted electronically to Medicare, with a few exceptions
  • If you received a letter from Palmetto GBA requesting documentation that you qualify to submit paper claims, you must return the letter with the requested documentation within the specified timeframe
  • If you do not supply the requested documentation within the timeframe or if you do not qualify for a waiver to submit paper claims, you are required to file electronic claims to Palmetto GBA 
  • Contact the EDI Technical Support Center with questions regarding ASCA waiver letters or to request more information on free electronic billing software (PC Ace Pro32):
    • Ohio and West Virginia providers: (866) 308-5438
    • South Carolina providers: (866) 749-4301 
    • Jurisdiction 1B: (866) 749-4301
Reference:
 

 

last updated on 12/29/2009
CMS