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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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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
Denials: Top Reasons and Procedures09/01/2014
EKG, EKG Rhythm Strip and Cardiac Echography: 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
Finger Stick, Heel Stick, Ear Stick: Bundling Denials09/01/2014
Glucose Testing: Medical Necessity Denials09/01/2014
Noninvasive Vascular Testing (NIVT): Medical Necessity Denials09/01/2014
NPI: Troubleshooting Rejections09/01/2014
Physical Therapy: Denied for Chiropractors09/01/2014
Reason Code CO-125: Payment Adjusted Due to a Submission/Billing Error09/01/2014
Reason Code CO-16: Claim/service Lacks Information Needed for Adjudication09/01/2014
Reason Code CO-96: Non-covered Charges09/01/2014
Reason Code PR-17: Payment was Adjusted Because Requested Information was not Provided or was Insufficient/Incomplete09/01/2014
Routine Physical Exams: Statutory Denials09/01/2014
Skilled Nursing Facility: Not Covered by This Payer (Consolidated Billing Denials)09/01/2014
Specimen Handling/Conveyance: Bundling Denials09/01/2014
Submitted to Incorrect Program: 'Jurisdiction' Denials09/01/2014
Time Limit Denials09/01/2014
Chest X-ray or EKG: Duplicate Denials09/16/2013
Chiropractic Manipulative Treatment: Duplicate Denials09/16/2013
CLIA Certification Number Required09/16/2013
CLIA: Laboratory Tests09/16/2013
Clinical Laboratory Procedures: Duplicate Denials09/16/2013
Code/Modifier Combination Invalid and Modifier Invalid/Missing09/16/2013
Creatinine (Blood): NCCI Bundling Denials09/16/2013
Diagnostic Cardiology Services: Medical Necessity Denials09/16/2013
Electronic Claim Required: Denials09/16/2013
Established Patient Office Visits: NCCI Bundling Denials09/16/2013
E/M Service: Similar Services from Multiple Providers in the Same Group09/16/2013
Fecal Occult Blood Tests (FOBT): Medical Necessity Denials09/16/2013
Glycosylated Hemoglobin A1C: Medical Necessity Denials09/16/2013
Heparin: NCCI Bundling Denials09/16/2013
Hospice: Non-Attending Physician Denials09/16/2013
Hospice: Services Related to Terminal Condition Denials09/16/2013
Hot or Cold Packs: Bundling Denials09/16/2013
Influenza Vaccine Administration: Bundling Denials09/16/2013
Injection Administration: NCCI Bundling Denials09/16/2013
Injection CPT Codes: NCCI Bundling Denials09/16/2013
LDL Cholesterol: NCCI Bundling Denials09/16/2013
Lidocaine: Bundling Denials09/16/2013
Lipid Panels: Medical Necessity Denials09/16/2013
MSP: Eligibility & Denials09/16/2013
Myocardial Perfusion Imaging: Medical Necessity Denials09/16/2013
see 25 | see 50 | see 100 Next Page >>


last updated on 9/01/2014
ver 1.0.51