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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

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Electronic Claim Required: Denials08/18/2015
E/M Service: Global Surgery Denials08/11/2015
Code/Modifier Combination Invalid and Modifier Invalid/Missing09/26/2014
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
Fecal Occult Blood Tests (FOBT): Medical Necessity Denials09/01/2014
Finger Stick, Heel Stick, Ear Stick: Bundling Denials09/01/2014
Glucose Testing: Medical Necessity Denials09/01/2014
Glycosylated Hemoglobin A1C: Medical Necessity Denials09/01/2014
Heparin: NCCI Bundling Denials09/01/2014
Hospice: Services Related to Terminal Condition Denials09/01/2014
Hot or Cold Packs: Bundling Denials09/01/2014
Influenza Vaccine Administration: Bundling Denials09/01/2014
Injection Administration: NCCI Bundling Denials09/01/2014
Injection CPT Codes: NCCI Bundling Denials09/01/2014
LDL Cholesterol: NCCI Bundling Denials09/01/2014
Lidocaine: Bundling Denials09/01/2014
Lipid Panels: Medical Necessity Denials09/01/2014
Myocardial Perfusion Imaging: Medical Necessity Denials09/01/2014
NCCI Bundling Denials09/01/2014
Night Services: Bundling Denials09/01/2014
NPI: Troubleshooting Rejections09/01/2014
Paravertebral Facet Joint Injections: Duplicate Denials09/01/2014
Paravertebral Facet Joint Injections: Medical Necessity Denials09/01/2014
Physical Therapy: Denied for Chiropractors09/01/2014
Physical & Occupational Therapy and Speech Language Pathology Caps: Financial Limitation Denials09/01/2014
Prostate Specific Antigen (PSA): Medical Necessity Denials09/01/2014
Prothrombin Time (PTT): Medical Necessity Denials09/01/2014
Provider Certification Denials09/01/2014
Pulse Oximetry: NCCI Bundling Denials09/01/2014
Reason Code CO-125: Payment Adjusted Due to a Submission/Billing Error09/01/2014
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last updated on 9/01/2015
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